Organization
FAIRVIEW HEIGHTS RESIDENTIAL. LLC
Active
Other names
Parkway Gardens Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES REIKER (TREASURER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
375 FOUNTAINS PKWY, FAIRVIEW HEIGHTS, IL 62208-2044
(618) 622-9940
(618) 622-9945
Mailing address
375 FOUNTAINS PKWY, FAIRVIEW HEIGHTS, IL 62208-2044
(618) 622-9940
(618) 622-9945
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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