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NPI Code Detail

MEDICARE: FUTURE VISION REHABILITATION CENTER, INC

MEDICARE: FUTURE VISION REHABILITATION CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)
23747P1801XPersonal Care Attendant
3253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1740167550
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUTURE VISION REHABILITATION CENTER, INC
Provider Business Mailing Address
First Line : PO BOX 16552
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27115-6552
Country : US
Telephone Number : 336-722-1505
Fax Number : 336-725-8638
Provider Business Practice Location Address
First Line : 1427 S MARTIN LUTHER KING JR DR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27107-1306
Country : US
Telephone Number : 336-722-1505
Fax Number : 336-725-8638
Authorized Official
Title or Position : DIRECTOR OF PROGRAM SERIVES
Name : LAKIAYA BUTLER
Credential :
Telephone Number : 336-722-1505
Provider Enumeration Date : 08/21/2025
Last Update Date : 08/21/2025

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Directions to “FUTURE VISION REHABILITATION CENTER, INC ” Practice Location

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