Healthcare Provider Details

I. General information

NPI: 1013713866
Provider Name (Legal Business Name): MODERN VUE HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9635 SOUTHERN PINE BLVD STE 146
CHARLOTTE NC
28273-5564
US

IV. Provider business mailing address

219 CUMBERLAND AVE
RAEFORD NC
28376-1857
US

V. Phone/Fax

Practice location:
  • Phone: 833-412-3356
  • Fax: 980-381-4563
Mailing address:
  • Phone: 919-423-2277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: CORY T FRANCIS
Title or Position: DIRECTOR
Credential:
Phone: 919-423-2277