Fountain Adult Home Care, LLC
NPI #1295191450 in Tarboro, North Carolina
Provider Information
- NPI Number
- 1295191450
- Entity Type
- Organization
- Organization Name
- Fountain Adult Home Care, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jan 4, 2016
- Last Updated
- May 10, 2016
Practice Location
- Address
- 303 WILLIAM WALSTON LANE
- City
- Tarboro
- State
- North Carolina
- ZIP Code
- 27886
- Phone
- (252) 641-4388
Authorized Official
- Name
- MRS. SHIRLEY WALSTON MCNEIL
- Title
- OWNER/ADMINISTRATOR
- Phone
- (252) 641-4388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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