Organization Name: | COMMUNITY LIVING, INC. |
NPI Number: | 1013206986 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA ANNE HANLEY (SENIOR ACCOUNTANT) |
Mailing Address: | 1040 Saint Peters Howell Rd Saint Peters |
State: | MO US |
Postal Code: | 633765259 |
Phone Number: | 6369702800 |
Fax Number: | 6369702810 |
NPI Enumeration Date: | 03/31/2011 |
NPI Last Update Date: | 03/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |