Healthcare Provider Details

I. General information

NPI: 1336106905
Provider Name (Legal Business Name): BELLE FOUNTAIN NURSING & REHABILIATION CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18591 QUARRY ST
RIVERVIEW MI
48193-4522
US

IV. Provider business mailing address

18591 QUARRY ST
RIVERVIEW MI
48193-4522
US

V. Phone/Fax

Practice location:
  • Phone: 734-282-2100
  • Fax: 734-282-2136
Mailing address:
  • Phone: 734-282-2100
  • Fax: 734-282-2136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number82-4210
License Number StateMI

VIII. Authorized Official

Name: MR. CHARLES ALLEN DUNN
Title or Position: OWNER
Credential:
Phone: 313-580-0901