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Community Residence, Inc.
Adult Care Home Facility in Boss, Missouri
NPI 1679570170

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 Boss, MO. The NPI Number for Community Residence, Inc. is 1679570170 and holds a License No. 030558 (Missouri).

The current practice location address for Community Residence, Inc. is 32 Highway, Boss, MO and can be reached out via phone at 573-626-4611 and via fax at 573-626-4611. 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: 32 Highway, Boss, MO, 63021-5248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679570170
Provider Name
Community Residence, Inc.
Credential
Provider Entity Type
Organization
Address
32 Highway, Boss, MO, 63021-5248
Phone Number
573-626-4611
Fax Number
573-626-4611
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
32 Highway
City
Boss
State
Missouri
Zip
65440
Phone Number
573-626-4611
Fax Number
573-626-4611
person
Provider Business Mailing Address Details
Address
32 Highway
City
Boss
State
Missouri
Zip
65440
Phone Number
573-626-4611
Fax Number
573-626-4611
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
030558 (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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