Healthcare Provider Details

I. General information

NPI: 1427161520
Provider Name (Legal Business Name): NEW VISIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 MILDRED ST
MONTGOMERY AL
36104-4108
US

IV. Provider business mailing address

135 MILDRED ST
MONTGOMERY AL
36104-4108
US

V. Phone/Fax

Practice location:
  • Phone: 334-230-9704
  • Fax: 334-230-9705
Mailing address:
  • Phone: 334-230-9704
  • Fax: 334-230-9705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number1-041341
License Number StateAL

VIII. Authorized Official

Name: MR. ISAIAH SANKEY
Title or Position: DIRECTOR OF COMMUNICATIONS
Credential: NURSE PRACTITIONER
Phone: 334-230-9704