Prairie Living LLC

NPI #1922356922 in Rantoul, Illinois

Provider Information

NPI Number
1922356922
Entity Type
Organization
Organization Name
Prairie Living LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CHANUTE RETIREMENT JOINT VENTURE
Primary Specialty
Alzheimer Center (Dementia Center)
Enumeration Date
Aug 22, 2012
Last Updated
Aug 22, 2012

Practice Location

Address
200 W INTERNATIONAL AVE
ZIP Code
61866-3628
Phone
(217) 892-2800

Authorized Official

Name
GRANT MCCORKHILL
Title
MANAGER
Phone
(312) 715-5743

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)

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