OrganizationActive
Commonwealth Residential Living LLC
NPI 1356825301 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Sandston, VA
Provider details
- NPI number
- 1356825301
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Crystal White, Ceo(804) 253-5529
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
232 Taraby Dr
Sandston, VA 23150-2148
Phone: (804) 921-4237
Approximate (ZIP-level) locationGet directions
Mailing address
232 Taraby Dr
Sandston, VA 23150-2148
Registry dates
- Enumerated
- 2018-09-16
- Last updated
- 2018-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.