Organization
VISIONS ADT OF NWF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA DANIELS (CO-OWNER)
(850) 693-0411
Entity
Organization
Contact information
Practice address
1613 MONROE SHEFFIELD RD # C, CHIPLEY, FL 32428-5719
(850) 693-0411
Mailing address
437 COE DAIRY RD, 3, DOTHAN, AL 36301
(850) 693-0411
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
342000000X
Transportation Network Company
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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