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COMMUNITY RESIDENCES, INC.

Intermediate Care Mentally Retarded

Manassas, Virginia

Provider NPI: 1871775049

Organization Information:
Organization Name:  COMMUNITY RESIDENCES, INC.
Organization is not Subpart
Authorized Official:  TERRY  HURLEY  VP OF ADM, CHIEF FINANCIAL OFFICER  703-8422321

Practice Location:
7811 OAK ST  MANASSAS, VA 20111 US
Tel: 703-842-2333  Fax: 703-842-2311

Business Mailing Address:
14160 NEWBROOK DR  CHANTILLY, VA 20151 US
Tel: 703-842-2333  Fax: 703-842-2311

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
VA05801001









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