Overview
Name: LILY ROSE RESIDENTIAL SERVICES LLC
Specialty: Intellectual and/or Developmental Disabilities Residential Treatment Facility
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Residential Treatment Facilities
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Specialization: .
Definition of Specialty: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: LILY ROSE RESIDENTIAL SERVICES LLC,3102 GOLANSKY BLVD STE 202,WOODBRIDGE,VA,221924244,US
Mailing Address: LILY ROSE RESIDENTIAL SERVICES LLC,3102 GOLANSKY BLVD STE 202,WOODBRIDGE,VA,221924244,US
Contact #
Practice location phone #: 7034014133
Practice location fax #:
Mailing address Phone #: 7034014133
Mailing Address fax #:
Authorized official Name/Telephone #:CHIKATA, KHYNE-SAM, DIRECTOR 7034014133
Misc
Date NPI was obtained: 08/25/2021
Last data data was updated: 08/25/2021
Insurances: