Community Residence, INC.

Practice location

Address

201 Fir Rd, Carl Junction, MO 64834-9222

Phone

(417) 782-5659

Fax

(417) 659-8880

Mailing address

312 Solley Dr Rear, Ballwin, MO 63021-5248

Authorised official

Name

James Giardina

Title

President

Phone

(636) 394-3000

Registered specialties

Registry record

NPI

1033116520

Entity type

Organization

NPI issued

30 Jun 2005

Record last updated

30 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.