NPI 1013124593

Adeline E. Prouty Trust

Organisation Assisted Living Facility Princeton, IL

Practice location

Address: 508 Park Ave E, Princeton, IL 61356-2538
Phone: (815) 872-2261
Fax: (815) 875-1758

Authorised official

Name: Phillip Karl Kaufmann
Title: Administrator
Phone: (815) 872-2261

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 0021956 (IL)

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Registry record

NPI: 1013124593
Entity type: Organization
NPI issued: 16 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.