institution
Kingdom Dominion, Lld
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Richmond, Virginia
NPI 1174817050

Kingdom Dominion, Lld is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Richmond, VA. Kingdom Dominion, Lld practices in Richmond, VA. The NPI Number for Kingdom Dominion, Lld is 1174817050 and holds a License No. 905-01-001 (Virginia).

The current practice location address for Kingdom Dominion, Lld is 7024 Omalley Dr, Richmond, VA and can be reached out via phone at 804-525-4345 and via fax at 804-562-7752.

Location: 7024 Omalley Dr, Richmond, VA, 23234-2800
institution
Provider Profile Details
NPI Number
1174817050
Provider Name
Kingdom Dominion, Lld
Credential
Provider Entity Type
Organization
Address
7024 Omalley Dr, Richmond, VA, 23234-2800
Phone Number
804-525-4345
Fax Number
804-562-7752
Provider Enumeration Date
06/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7024 Omalley Dr
City
State
Zip
23234-2800
Phone Number
804-525-4345
Fax Number
804-562-7752
person
Provider Business Mailing Address Details
Address
7024 Omalley Dr
City
State
Zip
23234-2800
Phone Number
804-525-4345
Fax Number
804-562-7752
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
905-01-001 (Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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