Provider Demographics
NPI:1023559481
Name:VOCATIONAL VISIONARY OPPORTUNITIES
Entity Type:Organization
Organization Name:VOCATIONAL VISIONARY OPPORTUNITIES
Other - Org Name:TJ SWIFT HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:RENFROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-270-0034
Mailing Address - Street 1:10105 US HIGHWAY 63
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-4504
Mailing Address - Country:US
Mailing Address - Phone:417-256-0759
Mailing Address - Fax:
Practice Address - Street 1:10105 US HIGHWAY 63
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-4504
Practice Address - Country:US
Practice Address - Phone:417-256-0759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TJ SWIFT HOUSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services