Organization
VISIONS RESIDENTIAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE R HASAN MED (DIRECTOROWNER)
(910) 482-3513
Entity
Organization
Contact information
Practice address
1782 MATTHIS RD, CLINTON, NC 28328-0859
(910) 482-3513
(910) 482-3571
Mailing address
549 STACY WEAVER DR, FAYETTEVILLE, NC 28311-0859
(910) 482-3513
(910) 482-3571
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
61553
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6606045
—
NC
Enumeration date
04/06/2007
Last updated
08/22/2020
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