Organization
SOUTHERN ILLINOIS NURSING & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADIY MALIK (OWNER)
(573) 335-3044
Entity
Organization
Contact information
Practice address
900 E 9TH ST, METROPOLIS, IL 62960-2700
(618) 524-2683
Mailing address
2215 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4403
(573) 335-3044
(573) 335-6724
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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