Organization · Type 2 NPI
Community Residences, Inc.
Intellectual Disabilities Intermediate Care Facility · Ashburn, VA
NPI number
1497044267
Active
Practice location
22755 Sweet Andrea Drive, Cri - Brambleton Icf
Ashburn, VA 20148
Fax (703) 842-2341
Mailing address
14160 Newbrook Dr
Chantilly, VA 20151-2297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1497044267
Community Residences, Inc.'s National Provider Identifier is 1497044267, issued on Apr 1, 2011. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Ashburn, VA. The record was last updated on Apr 1, 2011.