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General NPI Number Information
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NPI Number | 1144686965
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Entity Type | Organization
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Legal Business Name | VISIONS COMMUNITY SERVICES,LLC
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 370 CLEVELAND PL
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6529
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Country | US
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Telephone | 757-965-3200
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Fax | 757-965-3201
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Provider Business Mailing Address
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Address Line | 370 CLEVELAND PL
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6529
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Country | US
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Telephone | 757-965-3200
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Fax | 757-965-3201
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Authorized Official
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Title or Position | PRESIDENT / C.E.O.
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Name | MRS. EULAMAE RUTLEDGE MYERS
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Credential |
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Telephone | 757-965-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 60802006
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License Number State | VA
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