| NPI | 1750386660 |
|---|---|
| Doing Business As | FOUNTAIN SPRINGS HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | THOMAS E. BOERBOOM Chief Operating Officer 952-873-7907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10723) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-02-09 |