Organization
FOUNTAIN VIEW RETIREMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE MARIE GRAFF L.P.N. (ADMINISTRATOR/NURSE)
(231) 924-5050
Entity
Organization
Contact information
Practice address
102 HILLCREST DR, FREMONT, MI 49412-1348
(231) 924-5050
(231) 924-6445
Mailing address
102 HILLCREST DR, FREMONT, MI 49412-1348
(231) 924-5050
(231) 924-6445
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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