Organization
COMMUNITY RESIDENCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURLEY (VP ADMIN, CHIEF FINANCIAL OFFICER)
(703) 842-2321
Entity
Organization
Contact information
Practice address
2332 N RIVERSIDE DR, RICHMOND, VA 23225-2542
(703) 842-2333
(703) 842-2311
Mailing address
14160 NEWBROOK DR, CHANTILLY, VA 20151-2297
(703) 842-2333
(703) 842-2311
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
05801001
VA
Other
Enumeration date
09/04/2008
Last updated
01/09/2018
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