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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOUNTAIN GATE HEALTH LLC

Active Organization

FOUNTAIN GATE HEALTH LLC is a Assisted Living Facility organization located in COON RAPIDS, Minnesota. NPI 1407491475 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · COON RAPIDS, MN

Registration Details

NPI Number
1407491475
Provider Type
Organization
NPI Issued
Nov 13, 2019 (6.7429629998504 yrs)
Last Updated
Nov 13, 2019

Practice Information

Address
10714 ILEX ST NW
COON RAPIDS, MN, 554484941
Browse MN providers · Browse ZIP 55448
Phone
7635168304
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Rural Ambulance
Additional Specialty
Assisted Living Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.