Elite Senior Living - Fountain View, LLC
NPI #1689878563 in Ripon, Wisconsin
Provider Information
- NPI Number
- 1689878563
- Entity Type
- Organization
- Organization Name
- Elite Senior Living - Fountain View, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 13, 2007
- Last Updated
- Nov 22, 2016
Practice Location
Authorized Official
- Name
- MR. JONATHAN HERATY
- Title
- MANAGER
- Phone
- (716) 748-7880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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