Fountain Homecare Providers LLC
NPI #1578210308 in Collingdale, Pennsylvania
Provider Information
- NPI Number
- 1578210308
- Entity Type
- Organization
- Organization Name
- Fountain Homecare Providers LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Mar 2, 2022
- Last Updated
- Mar 2, 2022
Practice Location
- Address
- 317 PERSHING AVE
- City
- Collingdale
- State
- Pennsylvania
- ZIP Code
- 19023-4116
- Phone
- (804) 549-0490
Authorized Official
- Name
- JERRY N GIBSON
- Title
- PRESIDENT
- Phone
- (804) 549-0490
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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