Provider Demographics
NPI:1013713866
Name:MODERN VUE HEALTH AND WELLNESS
Entity type:Organization
Organization Name:MODERN VUE HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:T
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-423-2277
Mailing Address - Street 1:219 CUMBERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-1857
Mailing Address - Country:US
Mailing Address - Phone:919-423-2277
Mailing Address - Fax:
Practice Address - Street 1:9635 SOUTHERN PINE BLVD STE 146
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5564
Practice Address - Country:US
Practice Address - Phone:833-412-3356
Practice Address - Fax:980-381-4563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker