Organization
FOUNTAINVIEW CENTER LP
Active
Other names
The Fountainview Center for Alzheimer's Disease
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA G KIMBALL LNHA (EXECUTIVE DIRECTOR)
(404) 325-7994
Entity
Organization
Contact information
Practice address
2631 N DRUID HILLS RD NE, ATLANTA, GA 30329-3529
(404) 325-7994
(404) 325-1213
Mailing address
2631 N DRUID HILLS RD NE, ATLANTA, GA 30329-3529
(404) 325-7994
(404) 325-1213
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2-044-459
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00421429A
—
GA
01
—
71-01338
UNITED HLTHCARE-EVERCARE
GA
Enumeration date
02/01/2006
Last updated
02/27/2012
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