Organization
FAIRFIELD SENIOR LIVING & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT STOUT (CEO)
(618) 294-8696
Entity
Organization
Contact information
Practice address
305 NW 11TH ST, FAIRFIELD, IL 62837-1203
(618) 842-3036
Mailing address
35 S VINE ST, HARRISBURG, IL 62946-1738
(618) 294-8696
(618) 294-8699
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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