Organization · Type 2 NPI

Fountain Manor Opco LLC

Skilled Nursing Facility · North Miami, FL

NPI number 1366960254 Active

Practice location

390 NE 135th St
North Miami, FL 33161-3967

Call (305) 895-4804 Map

Mailing address

480 Fentress Blvd Ste H
Daytona Beach, FL 32114-1237

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1366960254

Fountain Manor Opco LLC's National Provider Identifier is 1366960254, issued on Aug 31, 2017. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in North Miami, FL. The record was last updated on Aug 31, 2017.