| Vine Health & Wellness LLC | |
|
25615 County Road 460 Trinity AL 35673-4947 | |
| (256) 716-8262 | |
| (256) 615-8629 |
| Full Name | Vine Health & Wellness LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 25615 County Road 460, Trinity, Alabama |
| Authorized Official Name and Position | Thomas Arrignton (OWNER) |
| Authorized Official Contact | 2567168262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Health & Wellness LLC 25615 County Road 460 Trinity AL 35673-4947 Ph: (256) 716-8262 | Vine Health & Wellness LLC 25615 County Road 460 Trinity AL 35673-4947 Ph: (256) 716-8262 |
| NPI Number | 1427649227 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 07/14/2022 |
| Certification Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427649227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261Q00000X | Clinic/center | () | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |