NPI 1396820098

Community Residences, INC

Organisation Adult Care Home Facility Chantilly, VA

Practice location

Address: 14160 Newbrook Dr, Chantilly, VA 20151-2297
Phone: (703) 842-2333
Fax: (703) 842-2311

Authorised official

Name: Terry Hurley
Title: Vp of Administration/Cfo
Phone: (703) 842-2321

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 05801001, 05801003, (VA)

Other Custodial Care Facility providers in Virginia →

Registry record

NPI: 1396820098
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.