| NPI | 1982658498 |
|---|---|
| Other Name | FOUNTAIN VIEW VILLAGE |
| Entity Type | Organization |
| Authorized Contact | DEBRA A LICHTENWALD Dir. Medicare Reimbursement 312-330-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 310400000X Assisted Living Facility | |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-04-07 |