Organization
NEW VISION MANAGEMENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE MITCHELL QMHP, QMRP, LPN (OWNER)
(804) 263-0540
Entity
Organization
Contact information
Practice address
1812 LAKEVIEW AVE, RICHMOND, VA 23220-5909
(804) 263-0540
Mailing address
1812 LAKEVIEW AVE, RICHMOND, VA 23220-5909
(804) 263-0540
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0002086660
VA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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