Organization
VINE BEAUTY SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY PURNELL (PRESIDENT)
(732) 425-5778
Entity
Organization
Contact information
Practice address
615 RAHWAY AVE, WOODBRIDGE, NJ 07095-3437
(732) 425-5778
Mailing address
615 RAHWAY AVE, WOODBRIDGE, NJ 07095-3437
(732) 425-5778
(800) 745-6726
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922270974
—
NJ
Enumeration date
06/05/2019
Last updated
06/05/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us