Organization
OMNI VISIONS, INC
Active
Organization
OMNI VISIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRELYN WADDELL (AR MANAGER)
(919) 334-0249
Entity
Organization
Contact information
Practice address
5501 EXECUTIVE CENTER DR, SUITE 232, CHARLOTTE, NC 28212-8866
(704) 568-7959
(704) 568-7959
Mailing address
3717 NATIONAL DR, SUITE 100, RALEIGH, NC 27612-4067
(919) 334-0249
(919) 334-0280
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NA
NC
Other
Enumeration date
07/31/2007
Last updated
03/19/2012
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