Organization
ELITE SENIOR LIVING - FOUNTAIN VIEW, LLC
Active
Other names
FOUNTAIN VIEW CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN HERATY (MANAGER)
(716) 748-7880
Entity
Organization
Contact information
Practice address
50 WOLVERTON AVE, RIPON, WI 54971-1050
(920) 748-5638
Mailing address
50 WOLVERTON AVE, RIPON, WI 54971-1050
(920) 748-5638
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
11/22/2016
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