1Vision Outreach Resource Center

LBN: 1Vision Outreach Resource Center
1Vision Outreach Resource Center is an health care organization with primary practice located at 4123 N 44Th St , Milwaukee WI 53216-1503. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. 1Vision Outreach Resource Center can be contacted via phone (414) 899-7753, or through Jackson, Tamika L via phone (414) 899-7753.

Contact Information

Primary practice address
4123 N 44Th St Milwaukee WI 53216-1503
Phone: (414) 899-7753
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Tamika L
Phone: (414) 899-7753

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Wisconsin

Profile Details

NPI number 1457800237
LBN Legal business name 1Vision Outreach Resource Center
DBA Doing business as
Authorized official Jackson, Tamika L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2016
Last updated Sep 22nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457800237 NPPES
Wisconsin MEDICAID EISZUSP50K

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