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Organization
SL FOUNTAIN VIEW VILLAGE LLC
Active
Organization
SL FOUNTAIN VIEW VILLAGE LLC
Active
Other names
Fountain View Village
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A LICHTENWALD (DIR. MEDICARE REIMBURSEMENT)
(312) 330-6434
Entity
Organization
Contact information
Practice address
16455 E AVENUE OF THE FOUNTAINS, FOUNTAIN HILLS, AZ 85268-8307
(480) 836-4800
(480) 836-4876
Mailing address
111 E WACKER DR, SUITE 2200, CHICAGO, IL 60601-3713
(312) 673-4333
(312) 673-4430
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NULL
311500000X
Alzheimer Center (Dementia Center)
—
NULL
313M00000X
Nursing Facility/Intermediate Care Facility
—
NULL
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
05/20/2006
Last updated
04/07/2009
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