Organization
COMMUNITY RESIDENCE, INC.
Active
Other names
Community of Autumn Court at Mt Vernon Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN PAPIN (MEDICARE SPECIALIST)
(636) 222-0060
Entity
Organization
Contact information
Practice address
1421 S LANDRUM ST, MOUNT VERNON, MO 65712-1912
(417) 466-3549
Mailing address
1421 S LANDRUM ST, MOUNT VERNON, MO 65712-1912
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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