Provider Demographics
NPI:1114363629
Name:LANDMARK VISIONS, INC.
Entity Type:Organization
Organization Name:LANDMARK VISIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-647-2791
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:NORTH BRIDGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04057-0091
Mailing Address - Country:US
Mailing Address - Phone:207-647-2791
Mailing Address - Fax:
Practice Address - Street 1:156 BRICKYARD HILL RD
Practice Address - Street 2:
Practice Address - City:BRIDGTON
Practice Address - State:ME
Practice Address - Zip Code:04009-4647
Practice Address - Country:US
Practice Address - Phone:207-647-2791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care