OrganizationActive
Fountain Villa Residential Care
NPI 1740320548 · Exclusive Provider Organization · Iola, KS
Provider details
- NPI number
- 1740320548
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Joe Monsour, Operator
- License
- N001-006 (KS)
Practice location
2620 N Kentucky St
Iola, KS 66749-1940
Phone: (620) 365-6002
Fax: (620) 365-3510
Mailing address
2620 N Kentucky St
Iola, KS 66749-1940
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.