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General NPI Number Information
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NPI Number | 1578732996
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Entity Type | Organization
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Legal Business Name | NEW VISION HOME CARE, LLC
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 58725 BELLEVIEW DR SUITE A2
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City | PLAQUEMINE
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State | LA
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Zip | 70764-3948
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Country | US
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Telephone | 225-687-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 58725 BELLEVIEW DR SUITE A2
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City | PLAQUEMINE
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State | LA
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Zip | 70764-3948
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DIONNE J HARVEY
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Credential | RN
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Telephone | 225-687-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 1011207
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License Number State | LA
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