Fountains Ccrc Holding LLC
NPI #1174170013 in Atco, New Jersey
Provider Information
- NPI Number
- 1174170013
- Entity Type
- Organization
- Organization Name
- Fountains Ccrc Holding LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 26, 2019
- Last Updated
- Aug 26, 2019
Practice Location
- Address
- 114 HAYES MILL RD
- City
- Atco
- State
- New Jersey
- ZIP Code
- 08004-2457
- Phone
- (856) 753-2000
Authorized Official
- Name
- SAMUEL TENNENBAUM
- Title
- OWNER
- Phone
- (516) 371-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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