Organization · Type 2 NPI

Rolla Residential, LLC

Assisted Living Facility · Rolla, MO

NPI number 1972559276 Active

Practice location

2100 Parkside Ave
Rolla, MO 65401-5472

Fax (573) 308-1644

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1972559276

Rolla Residential, LLC's National Provider Identifier is 1972559276, issued on May 26, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Rolla, MO. The record was last updated on Feb 2, 2026.