Organization
WC- FAIRFIELD OPS, LLC
Active
Other names
Brookstone Estates of Fairfield
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY KENT (BUSINESS OFFICE MANAGER)
(618) 842-5875
Entity
Organization
Contact information
Practice address
315 MARKET AVE, FAIRFIELD, IL 62837-2611
(618) 842-5875
(618) 842-5870
Mailing address
315 MARKET AVE, FAIRFIELD, IL 62837-2611
(618) 842-5875
(618) 842-5870
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
01/08/2015
Last updated
06/26/2015
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