Provider Demographics
NPI:1073356002
Name:VISION HOUSE
Entity type:Organization
Organization Name:VISION HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-228-6356
Mailing Address - Street 1:PO BOX 2951
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-0951
Mailing Address - Country:US
Mailing Address - Phone:425-228-6356
Mailing Address - Fax:425-430-9590
Practice Address - Street 1:450 BREMERTON AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-5059
Practice Address - Country:US
Practice Address - Phone:425-228-6356
Practice Address - Fax:425-430-9590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management