Organization
COMMUNITY RESIDENCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURLEY (V.P., CFO)
(703) 842-2321
Entity
Organization
Contact information
Practice address
9332 BURKE RD, BURKE, VA 22015-3373
(703) 323-1609
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
058-01-005
VA
Other
Enumeration date
07/22/2014
Last updated
01/09/2018
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