Organization
COMMUNITY LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A HANLEY (DIRECTOR OF FINANCE)
(636) 970-2800
Entity
Organization
Contact information
Practice address
1040 SAINT PETERS HOWELL RD, SAINT PETERS, MO 63376-5259
(636) 970-2800
(636) 970-2810
Mailing address
1040 SAINT PETERS HOWELL RD, SAINT PETERS, MO 63376-5259
(636) 970-2800
(636) 970-2810
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8002252
—
MO
Enumeration date
05/05/2010
Last updated
05/05/2010
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