Fountain Villa Residential Care
Fountain Villa Residential Care is an Exclusive Provider Organization in Iola, Kansas. Licensed in Kansas. Registered with an NPI since 2007.
- Licensed in
- KS
- In the registry since
- 2007
Practice location Address checks out
2620 N Kentucky StIola, KS 66749-1940
Phone: (620) 365-6002
Fax: (620) 365-3510
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence N001-006 (KS) |
|---|
Record details
| NPI number | 1740320548 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joe Monsour — Operator · (620) 365-6002 |
| NPI enumerated | February 8, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2620 N Kentucky St, Iola, KS 66749-1940 |