Organization
FOUNTAIN VIEW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE LUCKETT (ADMINISTRATOR)
(618) 273-3353
Entity
Organization
Contact information
Practice address
1001A JEFFERSON ST, ELDORADO, IL 62930-1373
(618) 273-3353
(618) 273-4800
Mailing address
1001A JEFFERSON ST, ELDORADO, IL 62930-1373
(618) 273-3353
(618) 273-4800
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0020628
IL
314000000X
Skilled Nursing Facility
0020628
IL
Other
Enumeration date
01/17/2006
Last updated
09/11/2025
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