NPI | 1013124593 |
---|---|
Doing Business As | GREENFIELD HOME |
Entity Type | Organization |
Authorized Contact | PHILLIP KARL KAUFMANN Administrator 815-872-2261 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 0021956) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |