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Community Residence, Inc.
Adult Care Home Facility in Aurora, Missouri
NPI 1285631770

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 Aurora, MO. The NPI Number for Community Residence, Inc. is 1285631770 and holds a License No. 029972 (Missouri).

The current practice location address for Community Residence, Inc. is 1700B S Hudson Ave, Aurora, MO and can be reached out via phone at 417-678-2169 and via fax at 417-678-3156.

Location: 1700B S Hudson Ave, Aurora, MO, 63021-5248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285631770
Provider Name
Community Residence, Inc.
Credential
Provider Entity Type
Organization
Address
1700B S Hudson Ave, Aurora, MO, 63021-5248
Phone Number
417-678-2169
Fax Number
417-678-3156
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1700B S Hudson Ave
City
Aurora
State
Missouri
Zip
65605-2717
Phone Number
417-678-2169
Fax Number
417-678-3156
person
Provider Business Mailing Address Details
Address
1700B S Hudson Ave
City
Aurora
State
Missouri
Zip
65605-2717
Phone Number
417-678-2169
Fax Number
417-678-3156
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
029972 (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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