10D2143606 CLIA NUMBER - GREATER VISION HEALTHCARE SERVICES, LLC

Laboratory Demographics

CLIA Number: 10D2143606

Facility Name: GREATER VISION HEALTHCARE SERVICES, LLC

Facility Address:
788 MONTGOMERY AVENUE SUITE 200
OCOEE, FL
ZIP 34761
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Facility Phone Number: 407 473-2837

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1083069074

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

CLIA Record

Field Name	Field Value
CLIA Number	10D2143606
LAB Type	Home Health Agency
Facility Name	GREATER VISION HEALTHCARE SERVICES, LLC
Street	788 MONTGOMERY AVENUE SUITE 200
City	OCOEE
State	FL
ZIP	34761
Phone	407 473-2837
CertificateType	4
CertificateEffectiveDate	2/2/2024
CertificateExpirationDate	2/1/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024