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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COMMUNITY RESIDENCE, INC.

Active Organization

COMMUNITY RESIDENCE, INC. is a Assisted Living Facility organization located in LICKING, Missouri. NPI 1275530776 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · LICKING, MO

Registration Details

NPI Number
1275530776
Provider Type
Organization
NPI Issued
Jun 30, 2005 (21.122747373548 yrs)
Last Updated
Jun 13, 2008
License
030734 (MO)

Practice Information

Address
225 W HIGHWAY 32
LICKING, MO, 655429832
Browse MO providers · Browse ZIP 65542
Phone
5736742207
Fax
5736742239
Primary Specialty
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.