Prairie Green at Fay's Point
NPI #1659771814 in Blue Island, Illinois
Provider Information
- NPI Number
- 1659771814
- Entity Type
- Organization
- Organization Name
- Prairie Green at Fay's Point
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 25, 2014
- Last Updated
- Aug 25, 2014
Practice Location
- Address
- 1546 WATER ST
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-2708
- Phone
- (708) 754-5700
Authorized Official
- Name
- CARMEN BALLENTINE
- Title
- MEDICAID COMPLIANCE MANAGER
- Phone
- (708) 754-5700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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