| NPI | 1558672329 |
|---|---|
| Doing Business As | FOUNTAIN OF LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRENDA MILEWSKI Executive Director 253-380-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: WA 602786502) |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2010-06-27 |