Organization
THE FOUNTAINVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM J MCGRAW (CORP BILLER)
(216) 661-6800
Entity
Organization
Contact information
Practice address
250 PARK DR, DAYTON, OH 45410-1316
(216) 661-6800
(216) 739-3789
Mailing address
250 PARK DR, DAYTON, OH 45410-1316
(216) 661-6800
(216) 739-3789
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6394
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2386430
—
OH
Enumeration date
05/31/2005
Last updated
08/22/2020
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