NPI 1285631770
Community Residence, INC.
Practice location
- Address
- 1700b S Hudson Ave, Aurora, MO 65605-2717
- Phone
- (417) 678-2169
- Fax
- (417) 678-3156
- Mailing address
- 312 Solley Dr Rear, Ballwin, MO 63021-5248
Authorised official
- Name
- James Giardina
- Title
- President
- Phone
- (636) 394-3000
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1285631770
- 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.