Organization · Type 2 NPI

Four Fountains Convalescent Center

Nursing Home Administrator · Belleville, IL

NPI number 1366436453 Active

Practice location

101 S Belt W
Belleville, IL 62220-2503

Call (618) 277-7700 Map

Fax (618) 355-4050

Specialties and licenses

TaxonomyCodeLicense
Nursing Home Administrator Primary 376G00000X0030304 (IL)

Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.

13 other providers at this address

About NPI 1366436453

Four Fountains Convalescent Center's National Provider Identifier is 1366436453, issued on Sep 6, 2005. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Belleville, IL. The record was last updated on Mar 24, 2009.