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Organization

PREMIER OPERATING FOUNTAIN PARK, LLC

Active
Parent organization
PREMIER SENIOR LIVING, LLC
Other names
Inn at Fountain Park
Organization subpart
Yes

Provider details

NPI number
Legal business name
PREMIER SENIOR LIVING, LLC
Authorized official
MR. WAYNE KAPLAN (OWNER)
(516) 359-1066
Entity
Organization

Contact information

Practice address
1433 N MAIN ST, BRYAN, OH 43506-1053
(419) 633-9191
(419) 633-3082
Mailing address
445 PARK AVE FL 9, NEW YORK, NY 10022-8606
(561) 359-1066

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
06/16/2025
Last updated
02/20/2026
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