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Contact Information

FOUNTAIN VIEW MANOR LLC
3432 VILLAGE LANE
GRANITE CITY, IL62040
 Phone: 618-931-3999
 Fax: 618-797-0857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
Indicates primary specialty

NPI Profile & details for FOUNTAIN VIEW MANOR LLC

NPI Number 1871741462
LBN Legal business name FOUNTAIN VIEW MANOR LLC
Authorized official KAREN TAYLOR - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2008
Last updated 09/08/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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