FOUNTAIN VIEW MANOR LLC
Alzheimer Center
Granite City, Illinois
Provider NPI: 1871741462
Organization Information:Organization Name: FOUNTAIN VIEW MANOR LLC
Practice Location:
3432 VILLAGE LANE GRANITE CITY, IL 62040 US
Tel: 618-931-3999 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
3432 VILLAGE LANE GRANITE CITY, IL 62040 US
Tel: 618-931-3999 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) |