| Organization Name: | FOUNTAIN VIEW MANOR, INC |
| NPI Number: | 1124026448 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER MICHELLE CLASON (ADM.) |
| Mailing Address: | 107 E Barclay St Henryetta |
| State: | OK US |
| Postal Code: | 744375609 |
| Phone Number: | 9186527021 |
| Fax Number: | 9186527216 |
| NPI Enumeration Date: | 07/11/2005 |
| NPI Last Update Date: | 06/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311500000X |
| License Number: | NH56035603 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Alzheimer Center (Dementia Center) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |