| NPI | 1851663736 |
|---|---|
| Doing Business As | FOUNTAIN OF LIFE ADULT ACTIVITY CENTER #1 |
| Entity Type | Organization |
| Authorized Contact | ORALIA GARZA President 956-212-2379 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 131724) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2019-01-08 |