Organization · Type 2 NPI
Commonwealth Community Services LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portsmouth, VA
Practice location
1512 Loren Cres
Portsmouth, VA 23701-3717
Mailing address
3026 Tyre Neck Rd
Portsmouth, VA 23703-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1003382789
Commonwealth Community Services LLC's National Provider Identifier is 1003382789, issued on Oct 19, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Portsmouth, VA. The record was last updated on Dec 26, 2019.