NPI | 1952689002 |
---|---|
Doing Business As | FOUNTAIN HOME HEALTH |
Entity Type | Organization |
Authorized Contact | CORINE OSUKOYA Asst. Administrator 817-274-1517 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: TX 009024) |
Enumeration Date | 2011-07-22 |
Last Update Date | 2011-07-22 |