New Vue Llc Dba Key Pine Village

NPI 1497928774 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1497928774
Enumeration Date 04/08/2008
Last Updated 04/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SCOTT SCOTT
Position MGMR
Phone (352) 634-5221
Fax
Practice Location
6457 W NORVELL BRYANT HWY
CRYSTAL RIVER FL, 34429-9413, US
Phone (352) 634-5221
Fax
Business Location
1275 N RAINBOW LOOP
LECANTO FL, 34461-8893, US
Phone (352) 634-5221
Fax
Toxanomy
Taxonomy Code 315P00000X
License State Florida
License Number 4036096
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According to our database, New Vue Llc Dba Key Pine Village NPI is 1497928774, taxonomy code is 315P00000X and license number is 4036096, license state is located at Florida. New Vue Llc Dba Key Pine Village physically located at 6457 W Norvell Bryant Hwy, Crystal River FL, 34429-9413. NPI Number 1033115704 has the healthcare provider type.

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1497928774 NPI number is provided on an as is basis without warranty of any kind. 1497928774 is maintained by the National Plan & Provider Enumeration System. The contents of New Vue Llc Dba Key Pine Village are for informational purposes only.