Organization · Type 2 NPI

Fountain Gate Health LLC

Assisted Living Facility · Coon Rapids, MN

NPI number 1407491475 Active

Practice location

10714 Ilex St NW
Coon Rapids, MN 55448-4941

Call (763) 516-8304 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Assisted Living Facility Primary 310400000XNone listed
Assisted Living Facility (Mental Illness) 3104A0625XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1407491475

Fountain Gate Health LLC's National Provider Identifier is 1407491475, issued on Nov 13, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Coon Rapids, MN. The record was last updated on Nov 13, 2019.