COMMUNITY RESIDENCE, INC.

Custodial Care Facility - Adult Care Home

Active Organization
NPI: 1669479150

Practice Address

1425B S LANDRUM ST
Mount Vernon, MO 65712

Phone: (417) 466-3649

Specialties

Specialty Code Primary License
Custodial Care Facility - Adult Care Home 311ZA0620X Yes 029793 (MO)

Frequently Asked Questions

NPI 1669479150 is the National Provider Identifier for COMMUNITY RESIDENCE, INC., a Custodial Care Facility - Adult Care Home provider located in Mount Vernon, MO. This NPI was enumerated on June 30, 2005.

Quick Facts

NPI
1669479150
Type
Organization
Enumerated
Jun 30, 2005
Last Updated
Oct 30, 2007

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