Prairie Creek Village, LLC

NPI #1033626254 in Decatur, Illinois

Provider Information

NPI Number
1033626254
Entity Type
Organization
Organization Name
Prairie Creek Village, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 9, 2018
Last Updated
Sep 15, 2021

Practice Location

Address
2530 N MONROE ST
ZIP Code
62526-3249
Phone
(217) 875-0920

Authorized Official

Name
THOMAS WINTER, CPA
Title
CFO
Phone
(847) 675-7979

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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