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1578210308
FOUNTAIN HOMECARE PROVIDERS LLC
COLLINGDALE, PA
NPI
1578210308
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Entity Type
Organization
Authorized Contact
JERRY N GIBSON
President
804-549-0490
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
FOUNTAIN HOMECARE PROVIDERS LLC
317 PERSHING AVE
COLLINGDALE, PA 19023-4116
Phone number: 804-549-0490
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Mailing Address
FOUNTAIN HOMECARE PROVIDERS LLC
317 PERSHING AVE
COLLINGDALE, PA 19023-4116
Phone number: 804-549-0490
Copy
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