Organization
FOUNTAIN VIEW ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY J ZENOR RNBC, MS, NHA (EXECUTIVE DIRECTOR)
(712) 276-3821
Entity
Organization
Contact information
Practice address
5501 GORDON DR, SIOUX CITY, IA 51106-2008
(712) 276-3821
(712) 202-0410
Mailing address
5501 GORDON DR, SIOUX CITY, IA 51106-2008
(712) 276-3821
(712) 202-0410
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0172
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0172
CERTIFICATION NUMBER
IA
Enumeration date
10/27/2006
Last updated
08/22/2020
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