| NPI | 1831531805 |
|---|---|
| Doing Business As | PRAIRIE GREEN AT DIXIE CROSSING |
| Entity Type | Organization |
| Authorized Contact | THOMAS JUSTIN TROVATO Executive Director 708-754-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 001) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2022-07-21 |