Provider Demographics
NPI:1477675403
Name:A VISION COME TRUE FCH
Entity Type:Organization
Organization Name:A VISION COME TRUE FCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:REAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-227-4960
Mailing Address - Street 1:220 HATCH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-2318
Mailing Address - Country:US
Mailing Address - Phone:336-227-4960
Mailing Address - Fax:336-227-4960
Practice Address - Street 1:220 HATCH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2318
Practice Address - Country:US
Practice Address - Phone:336-227-4960
Practice Address - Fax:336-227-4960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility