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Organization

TUESDAY REIGN ORGANIZATION

Active
Other names
Project 1440
Organization subpart
No

Provider details

NPI number
Authorized official
EZELL DANTE BANKS PH.D (OWNER/PRESIDENT)
(972) 774-8460
Entity
Organization

Contact information

Practice address
5000 N DIXIE HWY, ELIZABETHTOWN, KY 42701-8603
(972) 774-8460
Mailing address
109 BROOKEFIELD AVE APT 1B, ELIZABETHTOWN, KY 42701-4933
(972) 774-8460

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
Primary
251V00000X
Voluntary or Charitable Agency
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals

Other

Enumeration date
06/10/2025
Last updated
09/24/2025
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