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NPI Code Detail

MEDICARE: ENVISION INDUSTRIES INC

MEDICARE: ENVISION INDUSTRIES INC
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
1251C00000XDevelopmentally Disabled Services Day Training Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811324718
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENVISION INDUSTRIES INC
Provider Business Mailing Address
First Line : 2301 S WATER ST
Second Line :
City : WICHITA
State : KS
Zip : 67213-4819
Country : US
Telephone Number : 316-267-2244
Fax Number : 316-267-9034
Provider Business Practice Location Address
First Line : 2301 S WATER ST
Second Line :
City : WICHITA
State : KS
Zip : 67213-4819
Country : US
Telephone Number : 316-267-2244
Fax Number : 316-267-9034
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MICHAEL J MONTEFERRANTE
Credential :
Telephone Number : 316-440-1501
Provider Enumeration Date : 10/09/2013
Last Update Date : 10/09/2013

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Directions to “ENVISION INDUSTRIES INC ” Practice Location

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