Provider Demographics
NPI:1033301270
Name:VISION 6 CORP
Entity Type:Organization
Organization Name:VISION 6 CORP
Other - Org Name:INLAND VALLEY HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CEZ MICHELLE
Authorized Official - Middle Name:FELIPE
Authorized Official - Last Name:TAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-626-8221
Mailing Address - Street 1:5050 PALO VERDE ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2329
Mailing Address - Country:US
Mailing Address - Phone:909-626-8221
Mailing Address - Fax:909-626-1197
Practice Address - Street 1:5050 PALO VERDE ST
Practice Address - Street 2:SUITE 209
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2329
Practice Address - Country:US
Practice Address - Phone:909-626-8221
Practice Address - Fax:909-626-1197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-12
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000537251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health