Organization
INVISION MANAGEMENT CORPORATION
Active
Other names
A Second Chance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY PAULA DOUGLASS MALT, BA (CEO)
(443) 460-2374
Entity
Organization
Contact information
Practice address
4852 US HIGHWAY 158, ROANOKE RAPIDS, NC 27870-8948
(252) 535-1192
(252) 535-1147
Mailing address
4852 US HIGHWAY 158, ROANOKE RAPIDS, NC 27870-8948
(252) 535-1192
(252) 535-1147
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL042039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603561
—
NC
05
—
H63008
—
NC
Enumeration date
12/14/2007
Last updated
12/14/2007
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