Organization · Type 2 NPI
Grand Prairie Assisted Living
Assisted Living Facility · Macomb, IL
NPI number
1902240187
Active
Practice location
1307 Meadowlark Ln
Macomb, IL 61455-7508
Fax (309) 833-6410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 5102790 (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.
Another provider at this address
Other assisted living facility providers in Macomb
About NPI 1902240187
Grand Prairie Assisted Living's National Provider Identifier is 1902240187, issued on Apr 18, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Macomb, IL. The record was last updated on Apr 18, 2013.