| NPI | 1467556654 |
|---|---|
| Doing Business As | FOUNTAIN OF LIFE HOME HEALTH, LP |
| Entity Type | Organization |
| Authorized Contact | GARY BRYAN CRANFORD Administrator/Owner 956-720-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 010933) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2015-05-06 |