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General NPI Number Information
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NPI Number | 1962774422
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Entity Type | Organization
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Legal Business Name | TRUE VINE HEALTH CARE SOLUTIONS LLP
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 20 JULIE CT
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City | SOMERSET
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State | NJ
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Zip | 08873-4622
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Country | US
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Telephone | 732-821-7618
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Fax |
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Provider Business Mailing Address
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Address Line | 20 JULIE CT
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City | SOMERSET
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State | NJ
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Zip | 08873-4622
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Country | US
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Telephone | 732-821-7618
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. FOLASADE A OSUNTUYI
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Credential | RN
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Telephone | 732-821-7618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | HP0158800
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License Number State | NJ
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