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Organization
DIVINE VISION DEVELOPMENTS
Active
Organization
DIVINE VISION DEVELOPMENTS
Active
Other names
DVD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN GIBSON BANKS SR. (CAO)
(859) 402-2292
Entity
Organization
Contact information
Practice address
2901 RICHMOND RD, SUITE 130-174, LEXINGTON, KY 40509-1771
(859) 402-2292
Mailing address
2901 RICHMOND RD, SUITE 130-174, LEXINGTON, KY 40509-1771
(859) 402-2292
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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