Healthcare Provider Details

I. General information

NPI: 1467892497
Provider Name (Legal Business Name): VIZION ONE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2013
Last Update Date: 07/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 EAST OLD 56 HWY
OLATHE KS
66061
US

IV. Provider business mailing address

924 EAST OLD 56 HIGHWAY
OLATHE KS
66061
US

V. Phone/Fax

Practice location:
  • Phone: 316-558-1792
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA-046207
License Number StateKS

VIII. Authorized Official

Name: MR. ABDALLAH KITWARA
Title or Position: CEO
Credential: MBA
Phone: 202-545-0211