Organization
NEW VISION HEALTHCARE SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDY-ANN BLAKE LPN (CEO/OWNER)
(201) 212-8075
Entity
Organization
Contact information
Practice address
4740 PORTOFINO WAY APT 309, WEST PALM BEACH, FL 33409-8181
(201) 212-8075
Mailing address
4740 PORTOFINO WAY APT 309, WEST PALM BEACH, FL 33409-8181
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
314000000X
Skilled Nursing Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/23/2020
Last updated
08/26/2020
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