Fountain Park Riesen Center

NPI #1356588248 in Bryan, Ohio

Provider Information

NPI Number
1356588248
Entity Type
Organization
Organization Name
Fountain Park Riesen Center
Subpart
Yes (part of a larger organization)
Parent Organization
FOUNTAIN PARK INN& VILLAS, LLC
Primary Specialty
Alzheimer Center (Dementia Center)
Enumeration Date
Jan 14, 2009
Last Updated
Jan 14, 2009

Practice Location

Address
1433 N MAIN ST
City
Bryan
State
Ohio
ZIP Code
43506-1053
Phone
(419) 633-9191

Authorized Official

Name
SHEILA LYNN SABO
Title
OWNER
Phone
(941) 270-7627

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)

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