Organization · Type 2 NPI
Fairview Heights Residential. LLC
Assisted Living Facility · Fairview Heights, IL
NPI number
1265744841
Active
Practice location
375 Fountains Pkwy
Fairview Heights, IL 62208-2044
Fax (618) 622-9945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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.
About NPI 1265744841
Fairview Heights Residential. LLC's National Provider Identifier is 1265744841, issued on Jul 12, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fairview Heights, IL. The record was last updated on Jul 12, 2010.