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Community Residence, Inc.
Adult Care Home Facility in Seneca, Missouri
NPI 1376540872

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 Seneca, MO. The NPI Number for Community Residence, Inc. is 1376540872 and holds a License No. 029629 (Missouri).

The current practice location address for Community Residence, Inc. is 2400 Cherokee Ave, Seneca, MO and can be reached out via phone at 417-776-8053 and via fax at 417-776-1683. You can also correspond with Community Residence, Inc. through the mailing address at 312 SOLLEY DR, BALLWIN, MO - 63021-5248 (mailing address contact number: 636-394-3000).

Location: 2400 Cherokee Ave, Seneca, MO, 63021-5248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376540872
Provider Name
Community Residence, Inc.
Credential
Provider Entity Type
Organization
Address
2400 Cherokee Ave, Seneca, MO, 63021-5248
Phone Number
417-776-8053
Fax Number
417-776-1683
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2400 Cherokee Ave
City
Seneca
State
Missouri
Zip
64865-9323
Phone Number
417-776-8053
Fax Number
417-776-1683
person
Provider Business Mailing Address Details
Address
2400 Cherokee Ave
City
Seneca
State
Missouri
Zip
64865-9323
Phone Number
417-776-8053
Fax Number
417-776-1683
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
029629 (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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