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Organization

OMNI VISIONS, INC.

Active
Other names
Briggs AFL
Organization subpart
No

Provider details

NPI number
Authorized official
BRELYN WADDELL (CONTRACTS MANAGER)
(919) 334-0249
Entity
Organization

Contact information

Practice address
102 JEFFERSON ST, WILKESBORO, NC 28697-2502
(919) 334-0249
Mailing address
301 S PERIMETR PARK DR, STE 210, NASHVILLE, TN 37211-4143
(615) 726-3603

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408630
NC
Enumeration date
06/13/2013
Last updated
06/13/2013
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