# FOUNTAIN FAMILY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homewatch CareGivers Atlanta East
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447694088
- **Authorized official:** JEFFREY L WHITEHOUSE (PRESIDENT)
- **Authorized official phone:** (404) 521-0404

## Contact information

- **Practice address:** 457 FLAT SHOALS AVE SE, ATLANTA, GA 30316-1962
- **Practice address phone:** (404) 521-0404
- **Practice address fax:** (404) 521-0403
- **Mailing address:** 457 FLAT SHOALS AVE SE, ATLANTA, GA 30316-1962
- **Mailing address phone:** (404) 521-0404
- **Mailing address fax:** (404) 521-0403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 044R0549 | GA | Yes |

## Other

- **Enumeration date:** 04/25/2013
- **Last updated:** 04/25/2013