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Community Residences, Inc.
Intellectual Disabilities Intermediate Care Facility in Burke, Virginia
NPI 1922415934

Community Residences, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Chantilly, VA. Community Residences, Inc. practices in Burke, VA. The NPI Number for Community Residences, Inc. is 1922415934 and holds a License No. 058-01-005 (Virginia).

The current practice location address for Community Residences, Inc. is 9332 Burke Rd, Burke, VA and can be reached out via phone at 703-323-1609.

Location: 9332 Burke Rd, Burke, VA, 20151-2297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922415934
Provider Name
Community Residences, Inc.
Credential
Provider Entity Type
Organization
Address
9332 Burke Rd, Burke, VA, 20151-2297
Phone Number
703-323-1609
Fax Number
Provider Enumeration Date
07/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9332 Burke Rd
City
Burke
State
Virginia
Zip
22015-3373
Phone Number
703-323-1609
Fax Number
person
Provider Business Mailing Address Details
Address
9332 Burke Rd
City
Burke
State
Virginia
Zip
22015-3373
Phone Number
703-323-1609
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
058-01-005 (Virginia)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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