Organization
VINE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL EJIOFOR (EXECUTIVE DIRECTOR)
(978) 532-5592
Entity
Organization
Contact information
Practice address
153 ANDOVER ST STE 104, DANVERS, MA 01923-1455
(978) 532-5592
(978) 539-8419
Mailing address
153 ANDOVER ST STE 104, DANVERS, MA 01923-1455
(978) 532-5592
(978) 539-8419
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/19/2017
Last updated
07/21/2022
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