Organization
COMMUNITY DIRECT SERVICES, INC.
Active
Other names
Community Direct Services
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY L LOMAX (CEO)
(757) 965-4899
Entity
Organization
Contact information
Practice address
184 BUSINESS PARK DRIVE, SUITE 125, VIRGINIA BEACH, VA 23462
(757) 964-4899
(757) 965-4359
Mailing address
420 N CENTER DR, NORFOLK, VA 23502-4007
(757) 575-7303
(757) 226-0578
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
593-03-011
VA
385H00000X
Respite Care
593-03-011
VA
Other
Enumeration date
10/02/2008
Last updated
07/09/2018
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