Organization
VINEYARD COURT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DEMASI (DIRECTOR)
(702) 355-2695
Entity
Organization
Contact information
Practice address
6628-6632 SOUTH 22ND STREET, SUITE #1, PHOENIX, AZ 85042
(702) 355-2695
Mailing address
3104 E CAMELBACK RD # 242, PHOENIX, AZ 85016-4502
(702) 355-2695
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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