Organization
A VISION COME TRUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE REAVES (PRESIDENT)
(336) 227-4960
Entity
Organization
Contact information
Practice address
220 HATCH ST, BURLINGTON, NC 27217-2318
(336) 227-4960
Mailing address
220 HATCH ST, BURLINGTON, NC 27217-2318
(336) 227-4960
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805308
—
NC
Enumeration date
02/06/2008
Last updated
07/16/2012
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