Fountain View Manor LLC
NPI #1871741462 in Granite City, Illinois
Provider Information
- NPI Number
- 1871741462
- Entity Type
- Organization
- Organization Name
- Fountain View Manor LLC
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Sep 8, 2008
- Last Updated
- Sep 8, 2008
Practice Location
- Address
- 3432 VILLAGE LANE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040
- Phone
- (618) 931-3999
Authorized Official
- Name
- MISS KAREN TAYLOR
- Title
- ADMINISTRATOR
- Phone
- (618) 931-3999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
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