Whalio Doctors

NPI 1952533408

Envision INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Johnson City, TN

Practice location

Address
4504 Bristol Hwy Suite 105, Johnson City, TN 37601-3571
Phone
(423) 952-2211
Fax
(423) 952-2210
Mailing address
4504 Bristol Hwy Suite 115, Johnson City, TN 37601-3571

Authorised official

Name
Andrea Annelle Townsend
Title
Cfo
Phone
(423) 268-4383

Registered specialties (5)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence L000000008670 (TN)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence L000000008670 (TN)
Nursing Care Agency
Agencies Taxonomy 251J00000X Licence PSS0000000282 (TN)
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X Licence L000000004327 (TN)
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2060X Licence L000000008670 (TN)

Registry record

NPI
1952533408
Entity type
Organization
NPI issued
18 Aug 2009
Record last updated
28 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.