Organization · Type 2 NPI

Kingdom Dominion LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Richmond, VA

NPI number 1164675385 Active

Practice location

7024 O Malley Dr, Same
Richmond, VA 23234

Call (804) 525-4345 Map

Mailing address

7024 O Malley Dr.
Richmond, VA 23234

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	S1895533 (VA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.

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About NPI 1164675385

Kingdom Dominion LLC's National Provider Identifier is 1164675385, issued on Oct 31, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Richmond, VA. The record was last updated on Oct 31, 2008.