# SL FOUNTAIN VIEW VILLAGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fountain View Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982658498
- **Authorized official:** DEBRA A LICHTENWALD (DIR. MEDICARE REIMBURSEMENT)
- **Authorized official phone:** (312) 330-6434

## Contact information

- **Practice address:** 16455 E AVENUE OF THE FOUNTAINS, FOUNTAIN HILLS, AZ 85268-8307
- **Practice address phone:** (480) 836-4800
- **Practice address fax:** (480) 836-4876
- **Mailing address:** 111 E WACKER DR, SUITE 2200, CHICAGO, IL 60601-3713
- **Mailing address phone:** (312) 673-4333
- **Mailing address fax:** (312) 673-4430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 04/07/2009