Fountain of Life Group Homes LLC
NPI #1629649272 in Forest Hill, Texas
Provider Information
- NPI Number
- 1629649272
- Entity Type
- Organization
- Organization Name
- Fountain of Life Group Homes LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 6, 2021
- Last Updated
- Jul 6, 2021
Practice Location
- Address
- 7436 ROSE CREST BLVD.
- City
- Forest Hill
- State
- Texas
- ZIP Code
- 76140
- Phone
- (317) 469-0913
Authorized Official
- Name
- JAMES PICKENS
- Title
- OWNER
- Phone
- (317) 459-0913
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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