NPI 1003382789

Commonwealth Community Services LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Portsmouth, VA

Practice location

Address: 1512 Loren Cres, Portsmouth, VA 23701-3717
Phone: (757) 510-7044
Mailing address: 3026 Tyre Neck Rd, Portsmouth, VA 23703-4500

Authorised official

Name: Evelyn Nowell
Title: Executive Director
Phone: (757) 510-7044

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1003382789
Entity type: Organization
NPI issued: 19 Oct 2018
Record last updated: 26 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.