Dominion Lifestyle Serivces, LLC

NPI #1639338239 in Haymarket, Virginia

Provider Information

NPI Number
1639338239
Entity Type
Organization
Organization Name
Dominion Lifestyle Serivces, LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jun 9, 2008
Last Updated
Jun 9, 2008

Practice Location

Address
5368 MORTONS FORD WAY
ZIP Code
20169-4520
Phone
(703) 753-2503

Authorized Official

Name
MRS. LYNN TURNER SIVELS
Title
EXECUTIVE DIRECTOR / OWNER
Phone
(703) 753-2503

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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