Organization · Type 2 NPI
Community Residences, Inc.
Intellectual Disabilities Intermediate Care Facility · Burke, VA
NPI number
1922415934
Active
Practice location
9332 Burke Rd
Burke, VA 22015-3373
Mailing address
14160 Newbrook Dr
Chantilly, VA 20151-2297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 058-01-005 (VA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1922415934
Community Residences, Inc.'s National Provider Identifier is 1922415934, issued on Jul 22, 2014. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Burke, VA. The record was last updated on Jan 9, 2018.