Organization
COMMUNITY RESIDENCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY JAYNE PANEK (PROJECT DIRECTOR)
(703) 842-2327
Entity
Organization
Contact information
Practice address
12320 PARKLAWN DR, SECOND FLOOR, ROCKVILLE, MD 20852-1726
(301) 693-6875
Mailing address
14160 NEWBROOK DR, SUITE 100, CHANTILLY, VA 20151-2297
(703) 842-2327
(703) 842-2341
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MD
Other
Enumeration date
06/29/2016
Last updated
07/07/2016
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