Fountain View of Lowell

Organization Active NPI Assisted Living Facility · Lowell, MI

NPI 1346577046 · NPPES record last updated Nov 17, 2009

Key facts

NPI
1346577046
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
AL410007112 (MI)
Legal business name
FOUNTAIN VIEW OF LOWELL
Practice address
11535 Fulton St E
Lowell, MI 49331-9609
Phone
(616) 897-8413
NPI assigned
Nov 17, 2009
Organization subpart
No

Authorized official

Name
Rose Hollinshead
Title
Administrator
Phone
(616) 897-8413

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL410007112 MI Yes

Addresses

Primary practice location

11535 Fulton St E
Lowell, MI 49331-9609

Mailing address

3196 Kraft Ave SE
Suite 200
Grand Rapids, MI 49512-2078
Phone (616) 464-1564

Other identifiers

IdentifierTypeStateIssuer
23D0964697OtherMICLIA

Other providers in Lowell, MI

All providers in Lowell, MI · Assisted Living Facility in Michigan

Sources for this page

Verify at the official NPI Registry.