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A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Health Maintenance Organization |
302R00000X | |||
Health Service |
261QH0100X | |||
Home Health Aide |
374U00000X | |||
Home Modifications |
171WH0202X |
| NPI Number | 1235448291 |
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| LBN Legal business name | SDT VISIONTHEHOPE | ||||||||
| Authorized official | DIANNE TATUM - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/24/2010 | ||||||||
| Last updated | 09/24/2010 - About 16 years ago | ||||||||
| Identifiers |
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SDT VISIONTHEHOPE
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SDT VISIONTHEHOPE