| NPI | 1871741462 |
|---|---|
| Doing Business As | FOUNTAIN VIEW MANOR MEMORY ARE |
| Entity Type | Organization |
| Authorized Contact | KAREN TAYLOR Administrator 618-931-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |