Organization
VINEYARD HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES UKAH (OWNER/PRESIDENT)
(984) 219-9902
Entity
Organization
Contact information
Practice address
14 MARCY RD, BOSTON, MA 02126-2004
(984) 219-9902
Mailing address
14 MARCY RD, BOSTON, MA 02126-2004
(984) 219-9902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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