NPI 1437156965

Community Care Center of Mascoutah, INC.

Organisation Skilled Nursing Facility Mascoutah, IL

Practice location

Address: 201 S 10th St, Mascoutah, IL 62258-1736
Phone: (618) 566-8000
Fax: (618) 566-2884
Mailing address: 437 Sovereign CT, Ballwin, MO 63011-4432

Authorised official

Name: Christina M Giardina
Title: President
Phone: (636) 394-3000

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0031740 (IL)

Other Skilled Nursing Facility providers in Illinois →

Registry record

NPI: 1437156965
Entity type: Organization
NPI issued: 30 Jun 2005
Record last updated: 4 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.