Organization
FOUNTAINS CARLOTTA SL, LP
Active
Other names
THE FOUNTAINS AT THE CARLOTTA
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA FRUHLING FRAZIER (DIRECTOR)
(520) 797-4000
Entity
Organization
Contact information
Practice address
41505 CARLOTTA DR, PALM DESERT, CA 92211-3279
(760) 346-5420
(760) 341-7768
Mailing address
2020 W RUDASILL RD, ATTN: MEDICARE BILLING, TUCSON, AZ 85704-7800
(520) 797-4000
(520) 797-7757
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075441
OSCAR
—
05
—
LTC55226F
—
CA
Enumeration date
05/18/2006
Last updated
08/17/2017
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