Fountain Ventures INC

NPI #1972739167 in Rosenberg, Texas

Provider Information

NPI Number
1972739167
Entity Type
Organization
Organization Name
Fountain Ventures INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 2, 2009
Last Updated
Jul 14, 2010

Practice Location

Address
3926 AVENUE H
Address 2
24
State
Texas
ZIP Code
77471-2842
Phone
(281) 239-7111

Authorized Official

Name
KOFFI AGAMAHHIHEWODO
Title
DIRECTOR
Phone
(281) 239-7111

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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