| NPI | 1477925626 |
|---|---|
| Doing Business As | LA FONTAINE MEMORY CARE |
| Entity Type | Organization |
| Authorized Contact | AMBER M MIRANDA Office Manager 817-386-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |