Organization
FOUNTAINS CCRC HOLDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL TENNENBAUM (OWNER)
(516) 371-9500
Entity
Organization
Contact information
Practice address
114 HAYES MILL RD, ATCO, NJ 08004-2457
(856) 753-2000
Mailing address
114 HAYES MILL RD, ATCO, NJ 08004-2457
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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