Organization
LIFTING AS WE CLIMB COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JAMES (CEO)
(202) 498-4408
Entity
Organization
Contact information
Practice address
3058 PS BUSINESS CENTER DRIVE, WOODBRIDGE, VA 22192
(571) 408-4291
Mailing address
3058 PS BUSINESS CENTER DRIVE, WOODBRIDGE, VA 22192
(571) 408-4291
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1328-003
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328-003
—
VA
Enumeration date
06/17/2010
Last updated
06/17/2010
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