Organization
PRAIRIE LIVING LLC
Active
Parent organization
CHANUTE RETIREMENT JOINT VENTURE
Other names
Katy's Cottage
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANUTE RETIREMENT JOINT VENTURE
Authorized official
GRANT MCCORKHILL (MANAGER)
(312) 715-5743
Entity
Organization
Contact information
Practice address
200 W INTERNATIONAL AVE, RANTOUL, IL 61866-3628
(217) 892-2800
(217) 892-2833
Mailing address
200 W INTERNATIONAL AVE, RANTOUL, IL 61866-3628
(217) 892-2800
(217) 892-2833
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
IL
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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