Organization
SILVERCREST FOUNTAIN VIEW INDEPENDENT, LP
Active
Other names
Fountain View Senior Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE A BAKHIT (EXECUTIVE DIRECTOR)
(402) 596-9033
Entity
Organization
Contact information
Practice address
5710 S 108TH ST, OMAHA, NE 68137-3592
(402) 596-9033
(402) 932-3997
Mailing address
5710 S 108TH ST, OMAHA, NE 68137-3592
(402) 596-9033
(402) 932-3997
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF292
NE
311500000X
Alzheimer Center (Dementia Center)
ALF292
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253886/00
—
NE
Enumeration date
03/11/2011
Last updated
03/11/2011
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