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1770789778
FAIRFIELD ESTATES, LLC
FAIRFIELD, IL
NPI
1770789778
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Entity Type
Organization
Authorized Contact
JOHN HOLTZ
Controller
541-747-3373
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2007-06-26
Last Update Date
2008-06-24
Business Address
FAIRFIELD ESTATES, LLC
315 NORTH MARKET STREET
FAIRFIELD, IL 62837
Phone number: 618-842-5875
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Mailing Address
FAIRFIELD ESTATES, LLC
78 CENTENNIAL LOOP
EUGENE, OR 97401-7900
Phone number: 541-747-3373
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