PRAIRIE VILLAGE SUPPORTIVE LIVING LLC

Assisted Living Facility

Active Organization
NPI: 1518339167

Practice Address

200 INTERNATIONAL DRIVE
Rantoul, IL 61866

Phone: (217) 892-2800

Specialties

Specialty Code Primary License
Alzheimer Center (Dementia Center) 311500000X No -
Assisted Living Facility 310400000X Yes -

Frequently Asked Questions

NPI 1518339167 is the National Provider Identifier for PRAIRIE VILLAGE SUPPORTIVE LIVING LLC, a Assisted Living Facility provider located in Rantoul, IL. This NPI was enumerated on October 22, 2015.

Quick Facts

NPI
1518339167
Type
Organization
Enumerated
Oct 22, 2015
Last Updated
Nov 3, 2015

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