| Dominion Lifestyle Serivces, Llc | |
|
5368 Mortons Ford Way Haymarket VA 20169-4520 | |
| (703) 753-2503 | |
| Not Available |
| Full Name | Dominion Lifestyle Serivces, Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 5368 Mortons Ford Way, Haymarket, Virginia |
| Authorized Official Name and Position | Lynn Turner Sivels (EXECUTIVE DIRECTOR / OWNER) |
| Authorized Official Contact | 7037532503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Lifestyle Serivces, Llc 5368 Mortons Ford Way Haymarket VA 20169-4520 Ph: () - | Dominion Lifestyle Serivces, Llc 5368 Mortons Ford Way Haymarket VA 20169-4520 Ph: (703) 753-2503 |
| NPI Number | 1639338239 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639338239 | NPI | - | NPPES |
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