Provider Demographics
NPI:1831304492
Name:FAMILY VISIONS
Entity Type:Organization
Organization Name:FAMILY VISIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:STODDARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-404-9500
Mailing Address - Street 1:1007 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:FILER
Mailing Address - State:ID
Mailing Address - Zip Code:83328-5335
Mailing Address - Country:US
Mailing Address - Phone:208-404-9500
Mailing Address - Fax:208-326-5187
Practice Address - Street 1:1007 W 5TH ST
Practice Address - Street 2:
Practice Address - City:FILER
Practice Address - State:ID
Practice Address - Zip Code:83328-5335
Practice Address - Country:US
Practice Address - Phone:208-404-9500
Practice Address - Fax:208-326-5187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management