Organization
FOUNTAIN SPRINGS HEALTHCARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY PONI CORNELIUS (CHIEF OPERATIONS OFFICER)
(615) 479-1418
Entity
Organization
Contact information
Practice address
637 LAKE TERRACE DR, NASHVILLE, TN 37217-4212
(615) 479-1418
Mailing address
637 LAKE TERRACE DR, NASHVILLE, TN 37217-4212
(615) 479-1418
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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