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Organization
COMMUNITY RESIDENCE, INC.
Active
Organization
COMMUNITY RESIDENCE, INC.
Active
Other names
Silver Creek Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN PAPIN (MEDICARE SPECIALIST)
(636) 222-0060
Entity
Organization
Contact information
Practice address
1227 WINDING OAKS LN, MASCOUTAH, IL 62258-1635
(618) 566-4100
Mailing address
1227 WINDING OAKS LN, MASCOUTAH, IL 62258-1635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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