Organization · Type 2 NPI
Dominion Lifestyle Serivces, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Haymarket, VA
Practice location
5368 Mortons Ford Way
Haymarket, VA 20169-4520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1639338239
Dominion Lifestyle Serivces, LLC's National Provider Identifier is 1639338239, issued on Jun 9, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Haymarket, VA. The record was last updated on Jun 9, 2008.