Organization
LIGHT OF VISION CARE SERVICE LOV LLC
Active
Organization
LIGHT OF VISION CARE SERVICE LOV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA PITTMON (OWNER)
(813) 317-0668
Entity
Organization
Contact information
Practice address
6207 COLMAR PL, APOLLO BEACH, FL 33572-1617
(813) 317-0668
Mailing address
PO BOX 1011, GIBSONTON, FL 33534-1011
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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