| NPI | 1336960749 |
|---|---|
| Doing Business As | FOUNTAINS OF RICHMOND, LLC |
| Entity Type | Organization |
| Authorized Contact | GEORGE WADE PHILLIPS Owner 346-560-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-12-20 |