Grand Prairie Assisted Living
NPI #1902240187 in Macomb, Illinois
Provider Information
- NPI Number
- 1902240187
- Entity Type
- Organization
- Organization Name
- Grand Prairie Assisted Living
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 18, 2013
- Last Updated
- Apr 18, 2013
Practice Location
Authorized Official
- Name
- JACK LAVERDIERE
- Title
- OWNER
- Phone
- (309) 837-1258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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