Community Residence, Inc.

NPI #1194619114 in Mascoutah, Illinois

Provider Information

NPI Number: 1194619114
Entity Type: Organization
Organization Name: Community Residence, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Jun 4, 2025
Last Updated: Jun 4, 2025

Practice Location

Address: 1227 WINDING OAKS LN
City: Mascoutah
State: Illinois
ZIP Code: 62258-1635
Phone: (618) 566-4100

Authorized Official

Name: ELIZABETH ANN PAPIN
Title: MEDICARE SPECIALIST
Phone: (636) 222-0060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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