Individual provider · Type 1 NPI
Shane Burgess, COTA/L
Skilled Nursing Facility · Paris, IL
Practice location
310 S Eads Ave
Paris, IL 61944-1938
Mailing address
3812 Western Ave
Mattoon, IL 61938-2044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 057.002001 (IL) |
Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…
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- Twin Lakes Extended Care LLCSkilled Nursing Facility Paris, IL NPI 1154158657
- Deanna Marie Bernard IiPhysical Therapy Assistant Paris, IL NPI 1376796383
- Emily Marie McLaughlin, PTAPhysical Therapy Assistant Paris, IL NPI 1609535913
- Kaitlin Marie Korte, M.S., CF-SLPSpeech-Language Pathologist Paris, IL NPI 1821631755
About NPI 1932363736
Shane Burgess, COTA/L's National Provider Identifier is 1932363736, issued on Jul 11, 2008. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Paris, IL. The record was last updated on Jul 11, 2008.