| NPI | 1689497729 |
|---|---|
| Doing Business As | FOUNTAINFAMILYCARE |
| Entity Type | Organization |
| Authorized Contact | CHANDY RENEE FOUNTAIN Owner 336-455-4328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |