Provider Demographics
NPI:1184158081
Name:VISIONS CONTRACTORS INCORPORATED
Entity type:Organization
Organization Name:VISIONS CONTRACTORS INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/DRIVER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAWANDA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HARLEY-HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-305-0855
Mailing Address - Street 1:1320 N.W. SUMMERCREST BLVD.
Mailing Address - Street 2:APT. 211
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-9434
Mailing Address - Country:US
Mailing Address - Phone:708-305-0855
Mailing Address - Fax:
Practice Address - Street 1:1320 N.W. SUMMERCREST BLVD.
Practice Address - Street 2:APT. 211
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-9434
Practice Address - Country:US
Practice Address - Phone:708-305-0855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41169749343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)