| NPI | 1780172411 |
|---|---|
| Doing Business As | FOUNTAIN OF LIFE HOSPICE |
| Entity Type | Organization |
| Authorized Contact | NNEKA EZIKE Owner 832-494-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-01-29 |