# FOUNTAINS CARLOTTA SL, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE FOUNTAINS AT THE CARLOTTA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497708820
- **Authorized official:** GRETA FRUHLING FRAZIER (DIRECTOR)
- **Authorized official phone:** (520) 797-4000

## Contact information

- **Practice address:** 41505 CARLOTTA DR, PALM DESERT, CA 92211-3279
- **Practice address phone:** (760) 346-5420
- **Practice address fax:** (760) 341-7768
- **Mailing address:** 2020 W RUDASILL RD, ATTN: MEDICARE BILLING, TUCSON, AZ 85704-7800
- **Mailing address phone:** (520) 797-4000
- **Mailing address fax:** (520) 797-7757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 250000099 | CA | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 08/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 075441 | OSCAR | — |
| 05 | — | LTC55226F | — | CA |