| NPI | 1750153532 |
|---|---|
| Former Legal Business Name | BLUE VINE HEALTH CARE LLC |
| Entity Type | Organization |
| Authorized Contact | ADRIENE TOWNSEND Owner 816-716-8752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |