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General NPI Number Information
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NPI Number | 1114051950
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Entity Type | Organization
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Legal Business Name | VISIONS CARE ADULT DAY HEALTH CENTER, INC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 4910 JONESBORO RD BLDG 200
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City | UNION CITY
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State | GA
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Zip | 30291-2085
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Country | US
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Telephone | 770-306-5004
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Fax | 770-306-7970
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Provider Business Mailing Address
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Address Line | 4910 JONESBORO RD BLDG 200
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City | UNION CITY
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State | GA
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Zip | 30291-2085
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Country | US
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Telephone | 770-306-5004
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Fax | 770-306-7970
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ROSIE MARIE JACKSON
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Credential |
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Telephone | 770-306-5004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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