Organization
FOUNTAIN VIEW MANOR LLC
Active
Other names
Fountain View Manor Memory are
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAREN TAYLOR (ADMINISTRATOR)
(618) 931-3999
Entity
Organization
Contact information
Practice address
3432 VILLAGE LANE, GRANITE CITY, IL 62040
(618) 931-3999
(618) 797-0857
Mailing address
3432 VILLAGE LANE, GRANITE CITY, IL 62040
(618) 931-3999
(618) 797-0857
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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