COMMUNITY RESIDENCES, INC.
Intermediate Care Facility, Mentally Retarded
Richmond, Virginia
Provider NPI: 1487730743
Organization Information:Organization Name: COMMUNITY RESIDENCES, INC.
Practice Location:
4213 RESERVOIR LN RICHMOND, VA 23234 US
Tel: 703-842-2333 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4213 RESERVOIR LN RICHMOND, VA 23234 US
Tel: 703-842-2333 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | VA | 05801003 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
004960866 | VA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin