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COMMUNITY RESIDENCES, INC

Adult Care Home

Chantilly, Virginia

Provider NPI: 1396820098

Organization Information:
Organization Name:  COMMUNITY RESIDENCES, INC


Practice Location:
14160 NEWBROOK DR  CHANTILLY, VA 20151 US
Tel: 703-842-2333  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
VA05801001, 05801003,

Other Provider Identifiers:

IssuerNumberStateType
004946138VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS VA - Page 1