Provider Demographics
NPI:1134800253
Name:VISIONS ADT OF NWF LLC
Entity type:Organization
Organization Name:VISIONS ADT OF NWF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-693-0411
Mailing Address - Street 1:437 COE DAIRY RD
Mailing Address - Street 2:3
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301
Mailing Address - Country:US
Mailing Address - Phone:850-693-0411
Mailing Address - Fax:
Practice Address - Street 1:1613 MONROE SHEFFIELD RD # C
Practice Address - Street 2:
Practice Address - City:CHIPLEY
Practice Address - State:FL
Practice Address - Zip Code:32428-5719
Practice Address - Country:US
Practice Address - Phone:850-693-0411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No342000000XTransportation ServicesTransportation Network Company
No174200000XOther Service ProvidersMeals