Fountain Health Care Services, INC
NPI #1043442817 in Lawndale, California
Provider Information
- NPI Number
- 1043442817
- Entity Type
- Organization
- Organization Name
- Fountain Health Care Services, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 12, 2009
- Last Updated
- Aug 12, 2009
Practice Location
- Address
- 14611 PRAIRIE AVE
- City
- Lawndale
- State
- California
- ZIP Code
- 90260-1830
- Phone
- (310) 516-8994
Authorized Official
- Name
- MR. ABRAHAM WALE JIMOH
- Title
- PRESIDENT/CEO
- Phone
- (310) 516-8994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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