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Community Residence, Inc.
Adult Care Home Facility in Mount Vernon, Missouri
NPI 1669479150

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 Mount Vernon, MO. The NPI Number for Community Residence, Inc. is 1669479150 and holds a License No. 029793 (Missouri).

The current practice location address for Community Residence, Inc. is 1425B S Landrum St, Mount Vernon, MO and can be reached out via phone at 417-466-3649 and via fax at 417-466-4909. 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: 1425B S Landrum St, Mount Vernon, MO, 63021-5248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669479150
Provider Name
Community Residence, Inc.
Credential
Provider Entity Type
Organization
Address
1425B S Landrum St, Mount Vernon, MO, 63021-5248
Phone Number
417-466-3649
Fax Number
417-466-4909
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1425B S Landrum St
City
Mount Vernon
State
Missouri
Zip
65712-1912
Phone Number
417-466-3649
Fax Number
417-466-4909
person
Provider Business Mailing Address Details
Address
1425B S Landrum St
City
Mount Vernon
State
Missouri
Zip
65712-1912
Phone Number
417-466-3649
Fax Number
417-466-4909
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
029793 (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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