Jjr Enterprises INC
Intermediate Care Facility, Intellectual Disabilities in Fairfield, IL. Organization (NPI-2).
NPI number1245303528
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245303528
- Entity type
- Organization (NPI-2)
- Legal business name
- Jjr Enterprises INC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 00143828 | IL | Yes |
Other names
- Trafford Estates (Doing Business As)
Practice location
813 W Center StFairfield, IL 62837-1403
Phone 618-842-2260 · Fax 618-842-4228
Mailing address
Po Box 705Mount Vernon, IL 62864-0015
Phone 618-244-7701 · Fax 618-244-7704
Authorized official
Beth A Quick
Vice President
6182447701
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