Envisions Of Life, Llc

LBN: Envisions Of Life, Llc
Envisions Of Life, Llc is an health care organization with primary practice located at 420 Gulley St , Goldsboro NC 27530-5045. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Envisions Of Life, Llc can be contacted via phone (336) 887-0708, or through Moore, Tomeko Michelle via phone (336) 887-0708.

Contact Information

Primary practice address
420 Gulley St Goldsboro NC 27530-5045
Phone: (336) 887-0708
Fax: (336) 887-1085
Website:
Map and Directions
Authorized official contact:
Name: Moore, Tomeko Michelle
Phone: (336) 887-0708

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL 041 179 North Carolina

Profile Details

NPI number 1972700763
LBN Legal business name Envisions Of Life, Llc
DBA Doing business as
Authorized official Moore, Tomeko Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Jul 26th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972700763 NPPES
North Carolina MEDICAID 6604062

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