Organization
ADELINE E. PROUTY TRUST
Active
Other names
Greenfield Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP KARL KAUFMANN (ADMINISTRATOR)
(815) 872-2261
Entity
Organization
Contact information
Practice address
508 PARK AVE E, PRINCETON, IL 61356-2538
(815) 872-2261
(815) 875-1758
Mailing address
508 PARK AVE E, PRINCETON, IL 61356-2538
(815) 872-2261
(815) 875-1758
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0021956
IL
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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