Fountain View 215 Tenant, LLC

NPI #1881693489 in Springhill, Louisiana

Provider Information

NPI Number
1881693489
Entity Type
Organization
Organization Name
Fountain View 215 Tenant, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 18, 2005
Last Updated
Feb 12, 2008

Practice Location

Address
215 1ST ST NE
ZIP Code
71075-3217
Phone
(318) 539-3956

Authorized Official

Name
MR. ALEX PALEY
Title
COO
Phone
(914) 390-4363

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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