NPI | 1780670299 |
---|---|
Doing Business As | FOUNTAINVIEW CARE CENTER |
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL PETTEY Administrator 860-442-0471 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 1048C) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2020-08-22 |