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Organization
FOUNTAIN VIEW MANOR LLC
Active
Organization
FOUNTAIN VIEW MANOR LLC
Active
Other names
Fountain View Manor Memory are
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAREN TAYLOR (ADMINISTRATOR)
(618) 931-3999
Entity
Organization
Contact information
Practice address
3432 VILLAGE LANE, GRANITE CITY, IL 62040
(618) 931-3999
(618) 797-0857
Mailing address
3432 VILLAGE LANE, GRANITE CITY, IL 62040
(618) 931-3999
(618) 797-0857
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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