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Community Residence, Inc.
Adult Care Home Facility in Carl Junction, Missouri
NPI 1033116520

Community Residence, Inc. is an Adult Care Home Facility based in Ballwin, MO and is specialized in Adult Care Home. Community Residence, Inc. practices in Carl Junction, MO. The NPI Number for Community Residence, Inc. is 1033116520 and holds a License No. 029987 (Missouri).

The current practice location address for Community Residence, Inc. is 201 Fir Rd, Carl Junction, MO and can be reached out via phone at 417-782-5659 and via fax at 417-659-8880.

Location: 201 Fir Rd, Carl Junction, MO, 63021-5248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033116520
Provider Name
Community Residence, Inc.
Credential
Provider Entity Type
Organization
Address
201 Fir Rd, Carl Junction, MO, 63021-5248
Phone Number
417-782-5659
Fax Number
417-659-8880
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
201 Fir Rd
City
Carl Junction
State
Missouri
Zip
64834-9222
Phone Number
417-782-5659
Fax Number
417-659-8880
person
Provider Business Mailing Address Details
Address
201 Fir Rd
City
Carl Junction
State
Missouri
Zip
64834-9222
Phone Number
417-782-5659
Fax Number
417-659-8880
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
029987 (Missouri)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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