Fairfield Estates, Llc

NPI 1770789778 - Point of Service - 305S00000X

NPI Details
NPI 1770789778
Enumeration Date 06/26/2007
Last Updated 06/24/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN JOHN
Position CONTROLLER
Phone (618) 842-5875
Fax (618) 842-5870
Practice Location
315 NORTH MARKET STREET
FAIRFIELD IL, 62837, US
Phone (618) 842-5875
Fax (618) 842-5870
Business Location
78 CENTENNIAL LOOP
EUGENE OR, 97401-7900, US
Phone (541) 747-3373
Fax (541) 747-0673
Toxanomy
Taxonomy Code 305S00000X
License State
License Number
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According to our database, Fairfield Estates, Llc NPI is 1770789778, taxonomy code is 305S00000X Fairfield Estates, Llc physically located at 315 North Market Street, Fairfield IL, 62837. NPI Number 1033115704 has the healthcare provider type.

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1770789778 NPI number is provided on an as is basis without warranty of any kind. 1770789778 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfield Estates, Llc are for informational purposes only.