# FOUNTAIN PALLIATIVE CARE CORP

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

## Provider details

- **NPI number:** 1437832375
- **Authorized official:** FLOR MORA (CEO)
- **Authorized official phone:** (760) 212-7978

## Contact information

- **Practice address:** 1920 SHADOWRIDGE DR STE 110, VISTA, CA 92081-9008
- **Practice address phone:** (800) 241-4983
- **Mailing address:** 1920 SHADOWRIDGE DR STE 110, VISTA, CA 92081-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2023
- **Last updated:** 07/03/2025