# COMMUNITY RESIDENCE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Silver Creek Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194619114
- **Authorized official:** ELIZABETH ANN PAPIN (MEDICARE SPECIALIST)
- **Authorized official phone:** (636) 222-0060

## Contact information

- **Practice address:** 1227 WINDING OAKS LN, MASCOUTAH, IL 62258-1635
- **Practice address phone:** (618) 566-4100
- **Mailing address:** 1227 WINDING OAKS LN, MASCOUTAH, IL 62258-1635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 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