Organization
NATALIE AND ERIK TILTINS
Active
Other names
FOUNTAIN HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE TILTINS (OWNER/OPERATOR)
(850) 722-4012
Entity
Organization
Contact information
Practice address
17919 HWY. 231, FOUNTAIN, FL 32438
(850) 722-4012
(850) 722-0203
Mailing address
PO BOX 500, FOUNTAIN, FL 32438-0500
(850) 722-4012
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
AL5222
FL
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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