NPI 1487730743
Community Residences, INC.
Practice location
- Address
- 4213 Reservoir Ln, Richmond, VA 23234-3534
- 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
Registry record
- NPI
- 1487730743
- Entity type
- Organization
- NPI issued
- 30 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.