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Commonwealth Residential Living Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sandston, Virginia
NPI 1356825301

Commonwealth Residential Living Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Sandston, VA. Commonwealth Residential Living Llc practices in Sandston, VA. The NPI Number for Commonwealth Residential Living Llc is 1356825301 and holds a License No. (Virginia).

The current practice location address for Commonwealth Residential Living Llc is 232 Taraby Dr, Sandston, VA and can be reached out via phone at 804-921-4237.

Location: 232 Taraby Dr, Sandston, VA, 23150-2148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356825301
Provider Name
Commonwealth Residential Living Llc
Credential
Provider Entity Type
Organization
Address
232 Taraby Dr, Sandston, VA, 23150-2148
Phone Number
804-921-4237
Fax Number
Provider Enumeration Date
09/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
232 Taraby Dr
City
Sandston
State
Virginia
Zip
23150-2148
Phone Number
804-921-4237
Fax Number
person
Provider Business Mailing Address Details
Address
232 Taraby Dr
City
Sandston
State
Virginia
Zip
23150-2148
Phone Number
804-921-4237
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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