Organization
COMMUNITY DIRECT SERVICES, INC.
Active
Other names
Community Direct Services
Organization subpart
No
Provider details
NPI number
Authorized official
CARY L LOMAX (CEO)
(757) 965-4899
Entity
Organization
Contact information
Practice address
184 BUSINESS PARK DRIVE, SUITE 125, VIRGINIA BEACH, VA 23462
(757) 965-4899
(757) 965-4359
Mailing address
420 N CENTER DR, SUITE 232, NORFOLK, VA 23502-4007
(757) 965-4899
(757) 965-4359
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
59303011
VA
3747P1801X
Personal Care Attendant
0103305642
VA
385H00000X
Respite Care
59303011
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010156971
—
VA
05
—
010330564
—
VA
Enumeration date
02/05/2007
Last updated
07/09/2018
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