| NPI | 1578776035 |
|---|---|
| Doing Business As | MOBILE VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY CUSUMANO President 813-300-7839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL OPC2471) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL OPC2471) |
| 314000000X Skilled Nursing Facility (Licence: FL OPC2471) | |
| 315D00000X Hospice, Inpatient (Licence: FL OPC2471) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2015-11-16 |