# VINEYARD COURT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598463986
- **Authorized official:** JAMES DEMASI (DIRECTOR)
- **Authorized official phone:** (702) 355-2695

## Contact information

- **Practice address:** 6628-6632 SOUTH 22ND STREET, SUITE \#1, PHOENIX, AZ 85042
- **Practice address phone:** (702) 355-2695
- **Mailing address:** 3104 E CAMELBACK RD \# 242, PHOENIX, AZ 85016-4502
- **Mailing address phone:** (702) 355-2695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2023
- **Last updated:** 02/16/2023
