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Contact Information

A FULFILLED VISION HOME HEALTH CARE INC
128 E GARRISON BLVD STE B
GASTONIA, NC28054-0421
 Phone: 704-691-7540
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for A FULFILLED VISION HOME HEALTH CARE INC

NPI # 1720217169
LBN Legal business name A FULFILLED VISION HOME HEALTH CARE INC
Authorized official SHANATA CRAWFORD - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2009
Last updated 07/07/2009 - About 17 years ago
Identifiers
NC License # HC3836
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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