Fountain Care Center, LLC
NPI #1093778128 in Orange, California
Provider Information
- NPI Number
- 1093778128
- Entity Type
- Organization
- Organization Name
- Fountain Care Center, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUMMIT CARE LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Jan 27, 2016
Practice Location
- Address
- 1835 WEST LA VETA AVENUE
- City
- Orange
- State
- California
- ZIP Code
- 92868
- Phone
- (714) 978-6800
Authorized Official
- Name
- MICHAEL T. BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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