Fountain Springs Healthcare Corp

NPI #1134699242 in Nashville, Tennessee

Provider Information

NPI Number: 1134699242
Entity Type: Organization
Organization Name: Fountain Springs Healthcare Corp
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Dec 1, 2018
Last Updated: Dec 1, 2018

Practice Location

Address: 637 LAKE TERRACE DR
City: Nashville
State: Tennessee
ZIP Code: 37217-4212
Phone: (615) 479-1418

Authorized Official

Name: MRS. MARY PONI CORNELIUS
Title: CHIEF OPERATIONS OFFICER
Phone: (615) 479-1418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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