| NPI | 1245709187 |
|---|---|
| Former Legal Business Name | FOUNTAIN HOMECARE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | EBUNAYO OLORUNTELE Administrator 818-626-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |