| NPI | 1679779045 |
|---|---|
| Doing Business As | PRAIRIE LIVING AT CHAUTAUQUA |
| Entity Type | Organization |
| Authorized Contact | HOWARD WILLIAM SAVER Administrator 618-351-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL Certification) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |