# ENVISION HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Barker Road Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144376864
- **Authorized official:** MR. VIC B. GULATI (OWNER)
- **Authorized official phone:** (252) 492-8686

## Contact information

- **Practice address:** 490 BARKER RD, HENDERSON, NC 27537-8873
- **Practice address phone:** (252) 492-8686
- **Mailing address:** 490 BARKER RD, HENDERSON, NC 27537-8873
- **Mailing address phone:** (252) 492-8686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-091-066 | NC | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 08/22/2020