COMMONWEALTH COMMUNITY SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Portsmouth, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COMMONWEALTH COMMUNITY SERVICES LLC NPI is 1003382789. The provider is registered as an organization entity type.
The provider's business location address is:
1512 LOREN CRES
PORTSMOUTH, VA
ZIP 23701-717
Phone: (757) 510-7044
The provider's authorized official is Evelyn Nowell .
The authorized official title is Executive Director and has the following contact phone number (757) 510-7044.
The CLIA number assigned to this NPI record is 49D2195790 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/19/2018 and was last updated on 12/26/2019.