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
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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