| NPI | 1417560269 |
|---|---|
| Doing Business As | FOUNTAIN OF LOVE |
| Entity Type | Organization |
| Authorized Contact | TAMIKA BURNETTE Health Care Worker 313-543-4480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2020-08-30 |