Organization
THE FOUNTAINS NURSING HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS L MART (CFO)
(585) 244-0410
Entity
Organization
Contact information
Practice address
3800 N FEDERAL HWY, BOCA RATON, FL 33431-4523
(561) 395-7510
(561) 395-1517
Mailing address
3800 N FEDERAL HWY, BOCA RATON, FL 33431-4523
(561) 395-7510
(561) 395-1517
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1165096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021239300
—
FL
Enumeration date
06/16/2005
Last updated
12/28/2011
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