Organization
VINE CARE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENEVA OKODUWA (OWNER)
(770) 609-9140
Entity
Organization
Contact information
Practice address
2682 JACANAR LN SW, ATLANTA, GA 30331-8008
(678) 457-7916
Mailing address
2682 JACANAR LN SW, ATLANTA, GA 30331-8008
(678) 457-7916
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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