Divine Vision Developments

NPI #1306039441 in Lexington, Kentucky

Provider Information

NPI Number
1306039441
Entity Type
Organization
Organization Name
Divine Vision Developments
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 22, 2007
Last Updated
Aug 22, 2007

Practice Location

Address
2901 RICHMOND RD
Address 2
SUITE 130-174
ZIP Code
40509-1771
Phone
(859) 402-2292

Authorized Official

Name
MR. CALVIN GIBSON BANKS SR.
Title
CAO
Phone
(859) 402-2292

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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