| NPI | 1720495120 |
|---|---|
| Doing Business As | FOUNTAIN MANOR HEALTH & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMUEL CHAVIN Administrator 305-895-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1163096) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-11-24 |