Organization
VINE& BRANCH HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYA LILLY (OFFICE MGR)
(704) 906-6482
Entity
Organization
Contact information
Practice address
2520 SARDIS RD N, CHARLOTTE, NC 28227-7827
(704) 246-8725
(704) 246-8728
Mailing address
4258 HIGHWAY 49 S, SUITE 901, HARRISBURG, NC 28075-7558
(910) 331-6088
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
01/03/2019
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