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Organization

NEW VISION FELLOWSHIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JUDI PARRIS (EXECUTIVE DIRECTOR)
(865) 357-0488
Entity
Organization

Contact information

Practice address
5745 WESTERN AVE, KNOXVILLE, TN 37921-2225
(865) 357-0488
Mailing address
5745 WESTERN AVE, KNOXVILLE, TN 37921-2225
(865) 357-0488

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
TN

Other

Enumeration date
07/08/2011
Last updated
07/08/2011
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