Provider Demographics
NPI:1629788740
Name:VINEL HEALTH CASE MANAGEMENT
Entity Type:Organization
Organization Name:VINEL HEALTH CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR /ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NJOKU
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:404-717-6659
Mailing Address - Street 1:2105 PALATINE PL
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9129
Mailing Address - Country:US
Mailing Address - Phone:404-717-6659
Mailing Address - Fax:
Practice Address - Street 1:2105 PALATINE PL
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9129
Practice Address - Country:US
Practice Address - Phone:404-717-6659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management