Provider Demographics
NPI:1205484136
Name:MAKING VISIONS COME TRUE, PLLC
Entity type:Organization
Organization Name:MAKING VISIONS COME TRUE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-670-5700
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27216-0035
Mailing Address - Country:US
Mailing Address - Phone:910-670-5700
Mailing Address - Fax:910-728-4783
Practice Address - Street 1:625 LANE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2473
Practice Address - Country:US
Practice Address - Phone:336-222-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAKING VISIONS COME TRUE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility