Fountain Villa Residential Care
NPI #1740320548 in Iola, Kansas
Provider Information
- NPI Number
- 1740320548
- Entity Type
- Organization
- Organization Name
- Fountain Villa Residential Care
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. JOE C MONSOUR
- Title
- OPERATOR
- Phone
- (620) 365-6002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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