Community Residence, Inc
Community Residence, Inc is an Adult Care Home Facility in Carl Junction, Missouri. Licensed in Missouri. Registered with an NPI since 2005.
- Licensed in
- MO
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
201 Fir RdCarl Junction, MO 64834-9222
Phone: (417) 782-5659
Fax: (417) 659-8880
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 029987 (MO) |
|---|
Record details
| NPI number | 1033116520 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Giardina — President · (636) 394-3000 |
| Other names | Carl Junction Residential Care |
| NPI enumerated | June 30, 2005 |
| Last updated in NPPES | October 30, 2007 |
| Mailing address | 312 Solley Dr, Rear, Ballwin, MO 63021-5248 |