Organization
FOUR FOUNTAINS CONVALESCENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOPE A MCNITT R.N. L.N.H.A. (LICENSED NURSING HOME ADMINISTRATOR)
(618) 277-7700
Entity
Organization
Contact information
Practice address
101 S BELT W, BELLEVILLE, IL 62220-2503
(618) 277-7700
(618) 355-4050
Mailing address
101 S BELT W, BELLEVILLE, IL 62220-2503
(618) 277-7700
(618) 355-4050
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
0030304
IL
Other
Enumeration date
09/06/2005
Last updated
03/24/2009
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