Organization Name: | NEW VISION SUPPORTIVE CAREGIVER SERVICES |
NPI Number: | 1851786040 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAKETA YVETTE CARPENTER (OWNER) |
Mailing Address: | 1331 Union Ave Suite 932 Memphis |
State: | TN US |
Postal Code: | 381043513 |
Phone Number: | 9014386751 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2015 |
NPI Last Update Date: | 03/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |