Organization
FRUITFUL VINE HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA AKU MCCLURE-MASTON RN (EXECUTIVE DIRECTOR)
(615) 753-7960
Entity
Organization
Contact information
Practice address
745 S CHURCH ST STE 127B, MURFREESBORO, TN 37130-5340
(615) 753-7960
Mailing address
745 S CHURCH ST STE 127B, MURFREESBORO, TN 37130-5340
(615) 753-7960
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
02/26/2025
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