NPI 1174817050

Kingdom Dominion, Lld

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Richmond, VA

Practice location

Address: 7024 Omalley Dr, Richmond, VA 23234-2800
Phone: (804) 525-4345
Fax: (804) 562-7752

Authorised official

Name: Cleveland L. Hill
Title: Owner
Phone: (804) 525-4345

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 905-01-001 (VA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1174817050
Entity type: Organization
NPI issued: 8 Jun 2011
Record last updated: 8 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.