Community Residence, Inc.
NPI #1275530776 in Licking, Missouri
Provider Information
- NPI Number
- 1275530776
- Entity Type
- Organization
- Organization Name
- Community Residence, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COMMUNITY RESIDENCE, INC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jun 30, 2005
- Last Updated
- Jun 13, 2008
Practice Location
Authorized Official
- Name
- JAMES GIARDINA
- Title
- PRESIDENT
- Phone
- (636) 394-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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