Organization · Type 2 NPI
New Vue LLC dba Key Pine Village
Intellectual Disabilities Intermediate Care Facility · Crystal River, FL
NPI number
1497928774
Active
Practice location
6457 W Norvell Bryant Hwy
Crystal River, FL 34429-9413
Mailing address
1275 N Rainbow Loop
Lecanto, FL 34461-8893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 4036096 (FL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1497928774
New Vue LLC dba Key Pine Village's National Provider Identifier is 1497928774, issued on Apr 8, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Crystal River, FL. The record was last updated on Apr 8, 2008.