NPI 1164506861

Community Residences, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Manassas, VA

Practice location

Address: 10144 Lake Jackson Dr, Manassas, VA 20111-2832
Phone: (703) 842-2333
Fax: (703) 842-2311
Mailing address: 14160 Newbrook Dr, Chantilly, VA 20151-2297

Authorised official

Name: Terry Hurley
Title: Vp Admin, Cfo
Phone: (703) 842-2321

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 05801003 (VA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Virginia →

Registry record

NPI: 1164506861
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 9 Jan 2018

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.