# GREATER VISION FAMILY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124479746
- **Authorized official:** CHEVON STALLWORTH (CEO)
- **Authorized official phone:** (407) 461-7762

## Contact information

- **Practice address:** 4991 TIMBER RIDGE TRL, OCOEE, FL 34761-8427
- **Practice address phone:** (407) 461-7762
- **Practice address fax:** (407) 614-2420
- **Mailing address:** PO BOX 918, OCOEE, FL 34761-0918
- **Mailing address phone:** (407) 461-7762
- **Mailing address fax:** (407) 614-2420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | FL | — |
| 311ZA0620X | Adult Care Home Facility | — | FL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | FL | — |

## Other

- **Enumeration date:** 06/24/2016
- **Last updated:** 06/24/2016