Organization
COMMUNITY RESIDENCES, INC.
Active
Other names
Brambleton ICF
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE HURLEY (V.P., CFO)
(703) 842-2321
Entity
Organization
Contact information
Practice address
22755 SWEET ANDREA DRIVE, CRI - BRAMBLETON ICF, ASHBURN, VA 20148
(703) 842-2333
(703) 842-2341
Mailing address
14160 NEWBROOK DR, CHANTILLY, VA 20151-2297
(703) 842-2333
(703) 842-2341
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
VA
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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