Omni Visions, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Selma, NC

NPI 1124467980 · NPPES record last updated Jun 14, 2013

Key facts

NPI
1124467980
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
OMNI VISIONS, INC.
Practice address
401 Dogwood Dr
Selma, NC 27576-2925
Phone
(919) 334-0249
NPI assigned
Jun 14, 2013
Organization subpart
No

Authorized official

Name
Brelyn Waddell
Title
Contracts Manager
Phone
(919) 334-0249

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Omni Visions Inc (51 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NC Yes

Addresses

Primary practice location

401 Dogwood Dr
Selma, NC 27576-2925

Mailing address

301 S Perimeter Park Dr
Ste 10
Nashville, TN 37211-4143
Phone (615) 726-3603

Other identifiers

IdentifierTypeStateIssuer
3408630MedicaidNC

Other names

  • Brooks AFL Other name

Other providers in Selma, NC

All providers in Selma, NC · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.