Provider Demographics
NPI:1336162601
Name:VISION QUEST INC
Entity Type:Organization
Organization Name:VISION QUEST INC
Other - Org Name:ANGELS OF MERCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/RN
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FLOWERETTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN/ADMINISTRATOR
Authorized Official - Phone:918-724-9191
Mailing Address - Street 1:608 KIHEKAH AVE
Mailing Address - Street 2:
Mailing Address - City:PAWHUSKA
Mailing Address - State:OK
Mailing Address - Zip Code:74056-4225
Mailing Address - Country:US
Mailing Address - Phone:918-287-1400
Mailing Address - Fax:918-287-1343
Practice Address - Street 1:608 KIHEKAH AVE
Practice Address - Street 2:
Practice Address - City:PAWHUSKA
Practice Address - State:OK
Practice Address - Zip Code:74056-4225
Practice Address - Country:US
Practice Address - Phone:918-287-1400
Practice Address - Fax:918-287-1343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health