Adeline E. Prouty Trust in Princeton - Assisted Living Facility
Adeline E. Prouty Trust - NPI 1013124593
Adeline E. Prouty Trust is a Assisted Living Facility in Princeton, Illinois. Adeline E. Prouty Trust practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Adeline E. Prouty Trust is 1013124593. The last update date is 2020-08-22.
Adeline E. Prouty Trust's current location address is 508 Park Ave E, Princeton, Illinois. You can contact this provider via phone number 8158722261 and fax number 8158751758. The mailing address for Adeline E. Prouty Trust is 508 Park Ave E, Princeton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Adeline E. Prouty Trust |
|---|---|
| Address | 508 Park Ave E, Princeton, Illinois |
| Phone Number | 8158722261 |
| Fax Number | 8158751758 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Kaufmann Karl Phillip |
| Telephone Number | 8158722261 |
NPI Number Detail
| NPI Number | 1013124593 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 508 Park Ave E |
|---|---|
| City | Princeton |
| State | Illinois (IL) |
| Post Code | 613562538 |
| Phone Number | 8158722261 |
| Fax Number | 8158751758 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 21956 |
|
Definition: 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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What is the Adeline E. Prouty Trust's 1013124593?
The Adeline E. Prouty Trust's NPI (National Provider Identifier) Number is 1013124593. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Adeline E. Prouty Trust is physically located?
The Adeline E. Prouty Trust is physically situated at the following address: 508 Park Ave E, Princeton, IL, 613562538.
What is the Adeline E. Prouty Trust's area of specialization and corresponding taxonomy classification?
The Adeline E. Prouty Trust's specialty field is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013124593 to Adeline E. Prouty Trust?
The Centers for Medicare & Medicaid Services originally issued the 1013124593 to Adeline E. Prouty Trust on 2007-05-16.
As of what date were the details related to Adeline E. Prouty Trust most recently updated or revised?
The information pertaining to Adeline E. Prouty Trust, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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