Organization
VISIONARY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIALISA CLARK (OWNER)
(229) 288-1928
Entity
Organization
Contact information
Practice address
306 S SHADOWLAWN DR, ALBANY, GA 31707-4243
(229) 288-1928
Mailing address
PO BOX 815, CAIRO, GA 39828-0815
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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