Community Residence, Inc.
NPI #1669479150 in Mount Vernon, Missouri
Provider Information
- NPI Number
- 1669479150
- Entity Type
- Organization
- Organization Name
- Community Residence, Inc.
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jun 30, 2005
- Last Updated
- Oct 30, 2007
Practice Location
- Address
- 1425B S LANDRUM ST
- City
- Mount Vernon
- State
- Missouri
- ZIP Code
- 65712-1912
- Phone
- (417) 466-3649
Authorized Official
- Name
- JAMES GIARDINA
- Title
- PRESIDENT
- Phone
- (636) 394-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
Similar Providers
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| Community Residence, Inc. |  AI Deep Dive |
| Community Residence, Inc. | AI Deep Dive |
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| Community Residence, Inc. Part of Community Residence, INC | AI Deep Dive |
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