Lily Rose Residential Services-Dc INC
NPI #1023835998 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1023835998
- Entity Type
- Organization
- Organization Name
- Lily Rose Residential Services-Dc INC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Sep 23, 2024
- Last Updated
- Sep 23, 2024
Practice Location
- Address
- 3516 PLANK RD STE 5C
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22407-6861
- Phone
- (703) 407-1011
Authorized Official
- Name
- CHIKATA KHYNE-SAM
- Title
- ADMINISTRATOR
- Phone
- (703) 407-1011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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