Organization · Type 2 NPI
Community Residences, Inc.
Intellectual Disabilities Intermediate Care Facility · Vienna, VA
NPI number
1437233145
Active
Practice location
8207 Wolftrap Rd
Vienna, VA 22182-5125
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 1437233145
Community Residences, Inc.'s National Provider Identifier is 1437233145, issued on Oct 25, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Vienna, VA. The record was last updated on Jan 9, 2018.