Fountain Villa Residential Care

LBN: Fountain Villa Residential Care
Fountain Villa Residential Care is an health care organization with primary practice located at 2620 N Kentucky St , Iola KS 66749-1940. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Fountain Villa Residential Care can be contacted via phone (620) 365-6002, or through Monsour, Joe C via phone (620) 365-6002.

Contact Information

Primary practice address
2620 N Kentucky St Iola KS 66749-1940
Phone: (620) 365-6002
Fax: (620) 365-3510
Website:
Map and Directions
Authorized official contact:
Name: Monsour, Joe C
Phone: (620) 365-6002

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X N001-006 Kansas

Profile Details

NPI number 1740320548
LBN Legal business name Fountain Villa Residential Care
DBA Doing business as
Authorized official Monsour, Joe C
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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