Organization · Type 2 NPI

Adeline E. Prouty Trust

Assisted Living Facility · Princeton, IL

NPI number 1013124593 Active

Practice location

508 Park Ave E
Princeton, IL 61356-2538

Fax (815) 875-1758

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X0021956 (IL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1013124593

Adeline E. Prouty Trust's National Provider Identifier is 1013124593, issued on May 16, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Princeton, IL. The record was last updated on Aug 22, 2020.