Fairview Heights Residential. LLC
NPI #1265744841 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1265744841
- Entity Type
- Organization
- Organization Name
- Fairview Heights Residential. LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 12, 2010
- Last Updated
- Jul 12, 2010
Practice Location
- Address
- 375 FOUNTAINS PKWY
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2044
- Phone
- (618) 622-9940
Authorized Official
- Name
- JAMES REIKER
- Title
- TREASURER
- Phone
- (573) 471-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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