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1043265887
LIFE FOUNTAIN HEALTH CARE, INC
SAINT LOUIS, MO
NPI
1043265887
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Entity Type
Organization
Authorized Contact
ADEGBOLA ADEJISOLA ADEGOKE
Owner
314-454-6865
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2006-05-23
Last Update Date
2016-04-05
Business Address
LIFE FOUNTAIN HEALTH CARE, INC
1115 NEW HALLS FERRY RD 202
SAINT LOUIS, MO 63033
Phone number: 314-830-3840
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Mailing Address
LIFE FOUNTAIN HEALTH CARE, INC
11115 NEW HALLS FERRY RD 202
FLORISSANT, MO 63033-7613
Phone number: 314-830-3840
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