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Organization

INVISION CUSTOMIZED SERVICES

Active
Parent organization
INVISION HUMAN SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
INVISION HUMAN SERVICES
Authorized official
RUTH E SIEGFRIED (CHIEF EXECUTIVE OFFICER)
(724) 933-5100
Entity
Organization

Contact information

Practice address
12450 PERRY HWY, WEXFORD, PA 15090-7387
(724) 933-5100
(724) 933-4076
Mailing address
12450 PERRY HWY, WEXFORD, PA 15090-7387
(724) 933-5100
(724) 933-4076

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001898
PA
Enumeration date
11/01/2006
Last updated
06/28/2016
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