Lily Rose Residential Services Llc

LBN: Lily Rose Residential Services Llc
Lily Rose Residential Services Llc is an health care organization with primary practice located at 3102 Golansky Blvd Ste 202 , Woodbridge VA 22192-4244. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Lily Rose Residential Services Llc can be contacted via phone (703) 401-4133, or through Khyne-Sam, Chikata via phone (703) 401-4133.

Contact Information

Primary practice address
3102 Golansky Blvd Ste 202 Woodbridge VA 22192-4244
Phone: (703) 401-4133
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khyne-Sam, Chikata
Phone: (703) 401-4133

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1992472120
LBN Legal business name Lily Rose Residential Services Llc
DBA Doing business as
Authorized official Khyne-Sam, Chikata
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2021
Last updated Aug 25th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers