FOUNTAIN VILLA RESIDENTIAL CARE

Exclusive Provider Organization

Active Organization
NPI: 1740320548

Practice Address

2620 N KENTUCKY ST
Iola, KS 66749

Phone: (620) 365-6002

Specialties

Specialty Code Primary License
Exclusive Provider Organization 302F00000X Yes N001-006 (KS)

Frequently Asked Questions

NPI 1740320548 is the National Provider Identifier for FOUNTAIN VILLA RESIDENTIAL CARE, a Exclusive Provider Organization provider located in Iola, KS. This NPI was enumerated on February 8, 2007.

Quick Facts

NPI
1740320548
Type
Organization
Enumerated
Feb 8, 2007
Last Updated
Aug 22, 2020

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