Organization
JQEMPIRE VISIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARON QUINCY ADAMS (EXECUTIVE DIRECTOR)
(731) 474-9857
Entity
Organization
Contact information
Practice address
486 DOVER GLEN DR, ANTIOCH, TN 37013-1827
(770) 676-4369
Mailing address
486 DOVER GLEN DR, ANTIOCH, TN 37013-1827
(770) 676-4369
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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