Community Residences, Inc.

NPI #1669920955 in Chantilly, Virginia

Provider Information

NPI Number: 1669920955
Entity Type: Organization
Organization Name: Community Residences, Inc.
Primary Specialty: In Home Supportive Care
Enumeration Date: Sep 14, 2016
Last Updated: Sep 14, 2016

Practice Location

Address: 14160 NEWBROOK DR
Address 2: SUITE 100
City: Chantilly
State: Virginia
ZIP Code: 20151-2297
Phone: (703) 842-2327

Authorized Official

Name: MS. MARY JAYNE PANEK
Title: PROJECT DIRECTOR
Phone: (703) 842-2327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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