# COMMUNITY RESIDENCES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669920955
- **Authorized official:** MS. MARY JAYNE PANEK (PROJECT DIRECTOR)
- **Authorized official phone:** (703) 842-2327

## Contact information

- **Practice address:** 14160 NEWBROOK DR, SUITE 100, CHANTILLY, VA 20151-2297
- **Practice address phone:** (703) 842-2327
- **Practice address fax:** (703) 842-2341
- **Mailing address:** 14160 NEWBROOK DR, SUITE 100, CHANTILLY, VA 20151-2297
- **Mailing address phone:** (703) 842-2327
- **Mailing address fax:** (703) 842-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 058-01-011 | VA | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 09/14/2016