COMMUNITY RESIDENCE, INC.

LICKING, MO
NPI1275530776
Doing Business AsLICKING RESIDENTIAL CARE
Entity TypeOrganization
Authorized ContactJAMES GIARDINA
President
636-394-3000
Organization Subpart ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: MO  030734)
Enumeration Date2005-06-30
Last Update Date2008-06-13
Business Address
COMMUNITY RESIDENCE, INC.
225 W HIGHWAY 32
LICKING, MO 65542-9832
Phone number: 573-674-2207
Mailing Address
COMMUNITY RESIDENCE, INC.
312 SOLLEY DR REAR
BALLWIN, MO 63021-5248
Phone number: 636-394-3000