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COMMUNITY RESIDENCES, INC.

Intermediate Care Facility, Mentally Retarded

Manassas, Virginia

Provider NPI: 1164506861

Organization Information:
Organization Name:  COMMUNITY RESIDENCES, INC.


Practice Location:
10144 LAKE JACKSON DR  MANASSAS, VA 20111 US
Tel: 703-842-2333  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
VA05801003

Other Provider Identifiers:

IssuerNumberStateType
004960823VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS VA - Page 1



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