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Organization

NEW VISION SUPPORT SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WAKETA YVETTE CARPENTER (OWNER)
(901) 319-5983
Entity
Organization

Contact information

Practice address
1331 UNION AVE, SUITE 932, MEMPHIS, TN 38104-3513
(901) 319-5983
Mailing address
1331 UNION AVE, SUITE 932, MEMPHIS, TN 38104-3513
(901) 319-5983

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
253Z00000X
In Home Supportive Care Agency
TN
253Z00000X
In Home Supportive Care Agency
Primary
305S00000X
Point of Service
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
04/03/2015
Last updated
03/24/2017
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