Organization
GREATER VISION STAFFING AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNET STALLWORTH (PRESIDENT)
(407) 461-7762
Entity
Organization
Contact information
Practice address
485 N KELLER RD STE 101, MAITLAND, FL 32751-7536
(407) 473-2837
Mailing address
485 N KELLER RD STE 101, MAITLAND, FL 32751-7536
(407) 473-2837
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018600200
—
FL
Enumeration date
04/27/2016
Last updated
07/16/2020
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