Fountain View Manor, Inc

NPI 1124026448 - Alzheimer Center (Dementia Center) - 311500000X

NPI Details
NPI 1124026448
Enumeration Date 07/11/2005
Last Updated 06/20/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JENNIFER MICHELLE JENNIFER
Position ADM.
Phone (918) 652-7021
Fax (918) 652-7216
Practice Location
107 E BARCLAY ST
HENRYETTA OK, 74437-5609, US
Phone (918) 652-7021
Fax (918) 652-7216
Business Location
107 E BARCLAY ST
P.O. BOX 520
HENRYETTA OK, 74437-5609, US
Phone (918) 652-7021
Fax (918) 652-7216
Toxanomy
Taxonomy Code 311500000X
License State Oklahoma
License Number NH56035603
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According to our database, Fountain View Manor, Inc NPI is 1124026448, taxonomy code is 311500000X and license number is NH56035603, license state is located at Oklahoma. Fountain View Manor, Inc physically located at 107 E Barclay St, Henryetta OK, 74437-5609. NPI Number 1033115704 has the healthcare provider type.

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1124026448 NPI number is provided on an as is basis without warranty of any kind. 1124026448 is maintained by the National Plan & Provider Enumeration System. The contents of Fountain View Manor, Inc are for informational purposes only.