Organization
MBS ENVISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORREY TRUPP (CHIEF OPERATING OFFICER)
(913) 233-6307
Entity
Organization
Contact information
Practice address
601 E MAIN ST STE 101, MAHOMET, IL 61853-7460
(913) 359-6001
Mailing address
11350 TOMAHAWK CREEK PKWY STE 100, LEAWOOD, KS 66211-2617
(913) 359-6021
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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