Organization
POWERFUL LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI KISTNER PCA, MA (OWNER)
(804) 441-1802
Entity
Organization
Contact information
Practice address
14705 GATEWOOD RD, DEWITT, VA 23840-2815
(804) 441-1802
Mailing address
2405 DOVERCOURT DR, MIDLOTHIAN, VA 23113-6420
(804) 441-1802
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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