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Organization
CLEARR VISSION SUPPORT SERVICES, LLC
Active
Organization
CLEARR VISSION SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERWIN LAMONT HICKMAN SR. (CEO)
(804) 527-0992
Entity
Organization
Contact information
Practice address
5812 NORTHFORD PL, CHESTERFIELD, VA 23832-7590
(804) 271-7263
(804) 271-8612
Mailing address
7818 CAMOLIN CT, RICHMOND, VA 23228-6400
(804) 527-0992
(804) 271-8612
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
VA
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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