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1689912511
FOUNTAIN OF LIFE HOME HEALTH CARE LLC
FORT WORTH, TX
NPI
1689912511
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Entity Type
Organization
Authorized Contact
IESHA PICKENS
Owner
317-363-9095
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
FOUNTAIN OF LIFE HOME HEALTH CARE LLC
8500 AUBURN DR
FORT WORTH, TX 76123-1732
Phone number: 317-363-9095
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Mailing Address
FOUNTAIN OF LIFE HOME HEALTH CARE LLC
8500 AUBURN DR
FORT WORTH, TX 76123-1732
Phone number:
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