Provider Demographics
NPI:1295179489
Name:GREEN VISION INC.
Entity type:Organization
Organization Name:GREEN VISION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-998-7955
Mailing Address - Street 1:274 S SALEM ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-1616
Mailing Address - Country:US
Mailing Address - Phone:973-998-7955
Mailing Address - Fax:
Practice Address - Street 1:274 S SALEM ST
Practice Address - Street 2:SUITE 300
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-1616
Practice Address - Country:US
Practice Address - Phone:973-998-7955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services