institution
Community Residences, Inc
Intellectual Disabilities Intermediate Care Facility in Arlington, Virginia
NPI 1972675908

Community Residences, Inc is a Intellectual Disabilities Intermediate Care Facility based in Chantilly, VA. Community Residences, Inc practices in Arlington, VA. The NPI Number for Community Residences, Inc is 1972675908 and holds a License No. 05801001 (Virginia).

The current practice location address for Community Residences, Inc is 807 North Jackson Street, Arlington, VA and can be reached out via phone at 703-842-2333. You can also correspond with Community Residences, Inc through the mailing address at 14160 NEWBROOK DR, CHANTILLY, VA - 20151-2297 (mailing address contact number: 703-842-2333).

Location: 807 North Jackson Street, Arlington, VA, 20151-2297
institution
Provider Profile Details
NPI Number
1972675908
Provider Name
Community Residences, Inc
Credential
Provider Entity Type
Organization
Address
807 North Jackson Street, Arlington, VA, 20151-2297
Phone Number
703-842-2333
Fax Number
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010144833 05 VA
institution
Provider Business Practice Location Address Details
Address
807 North Jackson Street
City
State
Zip
22201
Phone Number
703-842-2333
Fax Number
person
Provider Business Mailing Address Details
Address
807 North Jackson Street
City
State
Zip
22201
Phone Number
703-842-2333
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
05801001 (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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