| NPI | 1629504600 |
|---|---|
| Doing Business As | FIELDCREST MANOR |
| Entity Type | Organization |
| Authorized Contact | DEAN C MASCHOFF President 847-612-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 0016554) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |