NPI 1043404106

Prairie Winds of Urbana

Organisation Assisted Living Facility Urbana, IL

Practice location

Address: 1905 E Prairie Winds Ave, Urbana, IL 61802-4723
Phone: (217) 344-6400
Fax: (217) 344-6444

Authorised official

Name: Tim J Boisseau
Title: Administrator
Phone: (217) 344-6400

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 31040000X (IL)

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Registry record

NPI: 1043404106
Entity type: Organization
NPI issued: 31 Aug 2007
Record last updated: 23 Jun 2008

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.