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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