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Organization
FOUNTAINS CARLOTTA SL, LP
Active
Organization
FOUNTAINS CARLOTTA SL, LP
Active
Other names
THE FOUNTAINS AT THE CARLOTTA
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA FRUHLING FRAZIER (DIRECTOR)
(520) 797-4000
Entity
Organization
Contact information
Practice address
41505 CARLOTTA DR, PALM DESERT, CA 92211-3279
(760) 346-5420
(760) 341-7768
Mailing address
2020 W RUDASILL RD, ATTN: MEDICARE BILLING, TUCSON, AZ 85704-7800
(520) 797-4000
(520) 797-7757
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075441
OSCAR
—
05
—
LTC55226F
—
CA
Enumeration date
05/18/2006
Last updated
08/17/2017
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