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1104194356
FOUNTAIN OF LIFE COMMUNITY DEVELOPMENT CENTER
PEMBROKE PINES, FL
NPI
1104194356
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Entity Type
Organization
Authorized Contact
SHERRON PARRISH
CEO
954-391-6080
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
FOUNTAIN OF LIFE COMMUNITY DEVELOPMENT CENTER
6741 PEMBROKE RD
PEMBROKE PINES, FL 33023-2143
Phone number: 954-391-6080
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Mailing Address
FOUNTAIN OF LIFE COMMUNITY DEVELOPMENT CENTER
6741 PEMBROKE RD
PEMBROKE PINES, FL 33023-2143
Phone number: 954-391-6080
Copy
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