Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareFOUNTAIN VIEW MANOR, INC
Alzheimer Center
Henryetta, Oklahoma
Provider NPI: 1124026448
Organization Information:Organization Name: FOUNTAIN VIEW MANOR, INC
Practice Location:
107 E BARCLAY ST HENRYETTA, OK 74437 US
Tel: 918-652-7021 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
107 E BARCLAY ST HENRYETTA, OK 74437 US
Tel: 918-652-7021 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | OK | NH56035603 |
| N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | OK | NH56035603 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OK | 375462 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 100773730A | OK | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin