Organization
CARBONDALE SLF, LP
Active
Other names
Prairie Living at Chautauqua
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD WILLIAM SAVER (ADMINISTRATOR)
(618) 351-7955
Entity
Organization
Contact information
Practice address
955 VILLA CT, CARBONDALE, IL 62901-6001
(618) 351-7955
(618) 351-6955
Mailing address
955 VILLA CT, CARBONDALE, IL 62901-6001
(618) 351-7955
(618) 351-6955
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CERTIFICATION
IL
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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