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Manassas Health & Rehab Center
8575 Rixlew Lane
Manassas, VA 20109
Phone:
(866) 712 - 4810
Email:
ccrcollectiondepartment@commonwealth-care.com
Website:
manassas-rehab.com
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Error Summary
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1. Patient Information
First Name
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M.I.
Last Name
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Enter resident's name
Account Number
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Enter six-digit account number, including leading zeros
Dates of Service
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Statement Date
Email Address
A receipt will be sent to this email address.
2. Payment Amount
Amount
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3. Payment Method
Credit/Debit Card
Bank Account
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*
Card Number
*
Expiration Date
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Security Code
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Zip Code
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Account Type
Checking
Savings
Routing Number
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Account Number
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Name On Check
Check Number
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