Organization
VISIONS CARE ADULT DAY HEALTH CENTER, INC
Active
Organization
VISIONS CARE ADULT DAY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSIE MARIE JACKSON (DIRECTOR)
(770) 306-5004
Entity
Organization
Contact information
Practice address
4910 JONESBORO RD, BLDG 200, UNION CITY, GA 30291-2085
(770) 306-5004
(770) 306-7970
Mailing address
4910 JONESBORO RD, BLDG 200, UNION CITY, GA 30291-2085
(770) 306-5004
(770) 306-7970
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604196354A
CCSP
GA
01
—
604196354B
SOURCE
GA
01
—
604196354C
NOW WAIVER
GA
01
—
604196354D
COMP
GA
Enumeration date
03/15/2007
Last updated
03/31/2015
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