# LILY ROSE RESIDENTIAL SERVICES-DC INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023835998
- **Authorized official:** CHIKATA KHYNE-SAM (ADMINISTRATOR)
- **Authorized official phone:** (703) 407-1011

## Contact information

- **Practice address:** 3516 PLANK RD STE 5C, FREDERICKSBURG, VA 22407-6861
- **Practice address phone:** (703) 407-1011
- **Mailing address:** 3516 PLANK RD STE 5C, FREDERICKSBURG, VA 22407-6861
- **Mailing address phone:** (703) 407-1011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 09/23/2024