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Organization

GREATER VISION HEALTHCARE SERVICES, LLC

Active
Other names
Greater Vision Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
VERNET STALLWORTH (OWNER/PRESIDENT)
(407) 473-2837
Entity
Organization

Contact information

Practice address
788 MONTGOMERY AVE STE 200, OCOEE, FL 34761-3102
(407) 473-2837
(407) 614-2420
Mailing address
788 MONTGOMERY AVE STE 200, OCOEE, FL 34761-3102
(407) 473-2837
(407) 614-2420

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100212300
FL
05
112640700
FL
Enumeration date
11/17/2016
Last updated
09/19/2022
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