Fountain View Manor, INC

NPI #1124026448 in Henryetta, Oklahoma

Provider Information

NPI Number
1124026448
Entity Type
Organization
Organization Name
Fountain View Manor, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 11, 2005
Last Updated
Jun 20, 2013

Practice Location

Address
107 E BARCLAY ST
ZIP Code
74437-5609
Phone
(918) 652-7021

Authorized Official

Name
MRS. JENNIFER MICHELLE CLASON, LPN, NHADM.
Title
ADM.
Phone
(918) 652-7021

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)
Nursing Facility/Intermediate Care Facility
Skilled Nursing Facility

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