Provider Demographics
NPI:1750005898
Name:NURTURING DREAMS AND VISIONS ILC INC.,
Entity type:Organization
Organization Name:NURTURING DREAMS AND VISIONS ILC INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN
Authorized Official - Phone:937-248-4047
Mailing Address - Street 1:717 SUPERIOR AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-6308
Mailing Address - Country:US
Mailing Address - Phone:193-724-8404
Mailing Address - Fax:800-883-4139
Practice Address - Street 1:715 SUPERIOR AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-6308
Practice Address - Country:US
Practice Address - Phone:937-248-4047
Practice Address - Fax:800-883-4139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care