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Community Residence, Inc.
Adult Care Home Facility in Salem, Missouri
NPI 1518964006

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 Salem, MO. The NPI Number for Community Residence, Inc. is 1518964006 and holds a License No. 030959 (Missouri).

The current practice location address for Community Residence, Inc. is 1207 E Roosevelt St, Salem, MO and can be reached out via phone at 573-729-9449 and via fax at 573-729-8719.

Location: 1207 E Roosevelt St, Salem, MO, 63021-5248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518964006
Provider Name
Community Residence, Inc.
Credential
Provider Entity Type
Organization
Address
1207 E Roosevelt St, Salem, MO, 63021-5248
Phone Number
573-729-9449
Fax Number
573-729-8719
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1207 E Roosevelt St
City
Salem
State
Missouri
Zip
65560-9676
Phone Number
573-729-9449
Fax Number
573-729-8719
person
Provider Business Mailing Address Details
Address
1207 E Roosevelt St
City
Salem
State
Missouri
Zip
65560-9676
Phone Number
573-729-9449
Fax Number
573-729-8719
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
030959 (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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