Provider Demographics
NPI:1033466941
Name:VIZION ONE
Entity Type:Organization
Organization Name:VIZION ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HHA/CNA
Authorized Official - Prefix:MR
Authorized Official - First Name:YUSUPH
Authorized Official - Middle Name:ALLY
Authorized Official - Last Name:LIUZIO
Authorized Official - Suffix:
Authorized Official - Credentials:HHA
Authorized Official - Phone:202-710-9019
Mailing Address - Street 1:6200 AGER ROAD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-6206
Mailing Address - Country:US
Mailing Address - Phone:202-710-9019
Mailing Address - Fax:
Practice Address - Street 1:6200 AGER ROAD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-6206
Practice Address - Country:US
Practice Address - Phone:202-710-9019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCNA20122427251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health