| Visions Residential Healthcare Services | |
|
549 Stacy Weaver Dr Fayetteville NC 28311-0859 | |
| (910) 482-4453 | |
| Not Available |
| Full Name | Visions Residential Healthcare Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 549 Stacy Weaver Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Annie R. Hasan (DIRECTOR/OWNER) |
| Authorized Official Contact | 9106246513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visions Residential Healthcare Services Po Box 9729 Fayetteville NC 28311-9091 Ph: (910) 482-4453 | Visions Residential Healthcare Services 549 Stacy Weaver Dr Fayetteville NC 28311-0859 Ph: (910) 482-4453 |
| NPI Number | 1285819755 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 12/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285819755 | NPI | - | NPPES |
| 8301929B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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