Provider Demographics
NPI:1457800724
Name:NUVISION HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:NUVISION HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:OBGEVOEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-358-0111
Mailing Address - Street 1:605 CAMERON LANDING DR
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6847
Mailing Address - Country:US
Mailing Address - Phone:404-358-0111
Mailing Address - Fax:
Practice Address - Street 1:605 CAMERON LANDING DR
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6847
Practice Address - Country:US
Practice Address - Phone:404-358-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031-R-1327251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health