Organization · Type 2 NPI
Community Residences, Inc.
Intellectual Disabilities Intermediate Care Facility · Annandale, VA
NPI number
1104902469
Active
Practice location
8518 Queen Elizabeth Blvd
Annandale, VA 22003-4308
Fax (703) 842-2311
Mailing address
14160 Newbrook Dr
Chantilly, VA 20151-2297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 05801001 (VA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1104902469
Community Residences, Inc.'s National Provider Identifier is 1104902469, issued on Oct 30, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Annandale, VA. The record was last updated on Jan 9, 2018.