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FAIR ACRES NURSING HOME INC NPI 1023142924


NPI Information

NPI: 1023142924
Provider Name: FAIR ACRES NURSING HOME INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
514 E JACKSON ST
DU QUOIN, IL
ZIP 62832
Phone: (618) 542-4731
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FAIR ACRES NURSING HOME INC is a durable medical equipment medical supplies in Du Quoin, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FAIR ACRES NURSING HOME INC NPI is 1023142924. The provider is registered as an organization entity type.

The provider's business location address is:

514 E JACKSON ST
DU QUOIN, IL
ZIP 62832-427
Phone: (618) 542-4731
Fax: (618) 542-2651

The provider's authorized official is Diana Kington .
The authorized official title is President and has the following contact phone number (618) 549-8331.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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