Community Residence, Inc.
Specialty details in registry · Licking, MO
At a glance
225 W Highway 32, Licking, MO 65542-9832
NPPES record updated Jun 13, 2008. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
225 W Highway 32Licking, MO 65542-9832
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 311ZA0620X
- Enumeration date
- Jun 30, 2005
- Record updated
- Jun 13, 2008
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
311ZA0620X · Primary
License reported: 030734 MO
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
225 W Highway 32Licking, MO 65542-9832
- Phone
- (573) 674-2207
- Fax
- (573) 674-2239
Mailing address
312 SOLLEY DRREAR
BALLWIN, MO 630215248
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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