Provider Demographics
NPI:1639060957
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:CEO
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:980-381-4563
Practice Address - Street 1:9635 SOUTHERN PINE BVLD
Practice Address - Street 2:# 146
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28376
Practice Address - Country:US
Practice Address - Phone:980-217-0395
Practice Address - Fax:980-381-4563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome Health