FOUNTAIN PARK INN BRYAN NPI 1578700837

NPI Information

NPI: 1578700837
Provider Name: FOUNTAIN PARK INN, BRYAN
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1433 N MAIN ST
BRYAN, OH
ZIP 43506
Phone: (419) 633-9191
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FOUNTAIN PARK INN, BRYAN is an assisted living facility in Bryan, OH. The provider is 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. FOUNTAIN PARK INN, BRYAN NPI is 1578700837. The provider is registered as an organization entity type.

The provider's business location address is:

1433 N MAIN ST
BRYAN, OH
ZIP 43506-053
Phone: (419) 633-9191
Fax: (419) 633-9192

The provider's authorized official is Sheila Lynn Sabo .
The authorized official title is Owner and has the following contact phone number (941) 270-7627.

The enumeration date for this NPI number is 1/8/2009 and was last updated on 1/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		2410R	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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