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LILY ROSE RESIDENTIAL SERVICES LLC 1992472120

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:

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