KINGDOM DOMINION LLC NPI 1164675385

NPI Information

KINGDOM DOMINION LLC is a residential treatment facility, intellectual and/or developmental disabilities in Richmond, VA. The provider is 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. KINGDOM DOMINION LLC NPI is 1164675385. The provider is registered as an organization entity type.

The provider's business location address is:

7024 O MALLEY DR
SAME
RICHMOND, VA
ZIP 23234
Phone: (804) 525-4345

The provider's authorized official is Cleveland Hill .
The authorized official title is Cfo and has the following contact phone number (804) 525-4345.

The enumeration date for this NPI number is 10/31/2008 and was last updated on 10/31/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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