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Organization

DIVINE VISION DEVELOPEMENT CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES AUGUSTUS BLAIR (PRESIDENT)
(859) 879-1734
Entity
Organization

Contact information

Practice address
184 BIRCH DR, VERSAILLES, KY 40383-9108
(859) 879-1734
Mailing address
184 BIRCH DR, VERSAILLES, KY 40383-9108
(859) 879-1734

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
04/15/2008
Last updated
04/15/2008
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