Organization
PRAIRIE WINDS OF URBANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM J BOISSEAU (ADMINISTRATOR)
(217) 344-6400
Entity
Organization
Contact information
Practice address
1905 E PRAIRIE WINDS AVE, URBANA, IL 61802-4723
(217) 344-6400
(217) 344-6444
Mailing address
1905 E PRAIRIE WINDS AVE, URBANA, IL 61802-4723
(217) 344-6400
(217) 344-6444
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
31040000X
IL
Other
Enumeration date
08/31/2007
Last updated
06/23/2008
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