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
3717 NATIONAL DR, SUITE 100, RALEIGH, NC 27612-4067
(919) 334-0249
(919) 334-0280
Mailing address
301 S PERIMETER PARK DR, SUITE 210, NASHVILLE, TN 37211-4143
(615) 726-3603
(615) 726-3632
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NA
NC
Other
Enumeration date
07/03/2007
Last updated
03/19/2012
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