MEDICARE: ENVISION FINANCIAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1770727349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENVISION FINANCIAL SERVICES

Provider Business Mailing Address
First Line	:	2530 MERIDIAN PKWY
Second Line	:	SUITE 300
City	:	DURHAM
State	:	NC
Zip	:	27713-5272
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 MERIDIAN PKWY
Second Line	:	SUITE 300
City	:	DURHAM
State	:	NC
Zip	:	27713-5272
Country	:	US
Telephone Number	:	919-633-9630
Fax Number	:	919-724-4624

Authorized Official
Title or Position	:	CEO
Name	:	KENNETH SAUNDERS
Credential	:
Telephone Number	:	919-633-9630

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	06/10/2009

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Directions to “ENVISION FINANCIAL SERVICES ” Practice Location

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