NPI 1871741462

Fountain View Manor LLC

Organisation Alzheimer Center (Dementia Center) Granite City, IL

Practice location

Address: 3432 Village Lane, Granite City, IL 62040
Phone: (618) 931-3999
Fax: (618) 797-0857

Authorised official

Name: Karen Taylor
Title: Administrator
Phone: (618) 931-3999

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X

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Registry record

NPI: 1871741462
Entity type: Organization
NPI issued: 8 Sep 2008
Record last updated: 8 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.