Provider Demographics
NPI:1508016775
Name:VISION QUEST PROPERTY MANAGEMENT, INC.
Entity Type:Organization
Organization Name:VISION QUEST PROPERTY MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PETRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-428-0646
Mailing Address - Street 1:5771 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-2290
Mailing Address - Country:US
Mailing Address - Phone:651-428-0646
Mailing Address - Fax:
Practice Address - Street 1:5771 MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-2290
Practice Address - Country:US
Practice Address - Phone:651-428-0646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN340275251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health