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1720590151
FOUNTAIN OF LIFE HOME CARE, LLC.
ALLENTOWN, PA
NPI
1720590151
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Entity Type
Organization
Authorized Contact
MAVERICK INOA
President/CEO
484-358-5102
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
(Licence: PA 35223601)
Enumeration Date
2017-10-25
Last Update Date
2017-10-25
Business Address
FOUNTAIN OF LIFE HOME CARE, LLC.
235 W WABASH ST
ALLENTOWN, PA 18103-5022
Phone number: 484-358-5102
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Mailing Address
FOUNTAIN OF LIFE HOME CARE, LLC.
235 W WABASH ST
ALLENTOWN, PA 18103-5022
Phone number: 484-358-5102
Copy
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