Organization
CLEARR VISSION SUPPORT SERVICES, INC
Active
Parent organization
CLEARR VISSION SUPPORT SERVICES, INC.
Other names
Clearr Vission Residential Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEARR VISSION SUPPORT SERVICES, INC.
Authorized official
MR. DERWIN L HICKMAN SR. (CEO)
(804) 677-8307
Entity
Organization
Contact information
Practice address
1323 ASBURY RD, RICHMOND, VA 23229-5305
(804) 677-8307
(804) 328-1793
Mailing address
4220 OAKLEYS CT, RICHMOND, VA 23223-5974
(804) 677-8307
(804) 328-1793
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
792-02-001
VA
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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