Provider Demographics
NPI:1851580146
Name:KEY LIVING OPTIONS, INC.
Entity Type:Organization
Organization Name:KEY LIVING OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:H
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:QMRP
Authorized Official - Phone:540-265-8101
Mailing Address - Street 1:P. O. BOX 130
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:24064
Mailing Address - Country:US
Mailing Address - Phone:540-265-8101
Mailing Address - Fax:
Practice Address - Street 1:1294 DEPOT RD
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:24064-3201
Practice Address - Country:US
Practice Address - Phone:540-265-8101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1089320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1089OtherDMHMRSAS