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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 MOUNT VERNON, Missouri. NPI 1669479150 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · MOUNT VERNON, MO

Registration Details

NPI Number
1669479150
Provider Type
Organization
NPI Issued
Jun 30, 2005 (21.143860082715 yrs)
Last Updated
Oct 30, 2007
License
029793 (MO)

Practice Information

Address
1425B S LANDRUM ST
MOUNT VERNON, MO, 657121912
Browse MO providers · Browse ZIP 65712
Phone
4174663649
Fax
4174664909
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.