# FOUNT OF LIFE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083491344
- **Authorized official:** MARQUIDA SIMS (CEO)
- **Authorized official phone:** (470) 661-5505

## Contact information

- **Practice address:** 580 CALEDON WAY, HAMPTON, GA 30228
- **Practice address phone:** (888) 260-4205
- **Mailing address:** 580 CALEDON WAY, HAMPTON, GA 30228-5338
- **Mailing address phone:** (888) 306-6694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 09/11/2023
- **Last updated:** 11/20/2025