Adeline E. Prouty Trust
NPI #1013124593 in Princeton, Illinois
Provider Information
- NPI Number
- 1013124593
- Entity Type
- Organization
- Organization Name
- Adeline E. Prouty Trust
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. PHILLIP KARL KAUFMANN
- Title
- ADMINISTRATOR
- Phone
- (815) 872-2261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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