Organization
GALAXY RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBIERE LLOYD (OWNER)
(703) 945-1565
Entity
Organization
Contact information
Practice address
7900 ANDRUS RD STE 12, ALEXANDRIA, VA 22306-3170
(703) 945-1565
(571) 777-5068
Mailing address
7900 ANDRUS RD STE 12, ALEXANDRIA, VA 22306-3170
(703) 945-1565
(571) 777-5068
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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