Fountain View of Portage

NPI #1629305321 in Portage, Michigan

Provider Information

NPI Number
1629305321
Entity Type
Organization
Organization Name
Fountain View of Portage
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 17, 2009
Last Updated
Nov 17, 2009

Practice Location

Address
7818 KENMURE DR
ZIP Code
49024-5082
Phone
(269) 327-9595

Authorized Official

Name
TERRY DENNY
Title
ADMINISTRATOR
Phone
(269) 327-9595

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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