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Organization
FOUNTAIN OF LIFE HEALING HOME HEALTH LP
Active
Organization
FOUNTAIN OF LIFE HEALING HOME HEALTH LP
Active
Other names
Fountain of Life Home Health, LP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BRYAN CRANFORD (ADMINISTRATOR/OWNER)
(956) 720-4139
Entity
Organization
Contact information
Practice address
21779 HINOJOSA RD, EDINBURG, TX 78541-5065
(956) 720-4139
(956) 720-4167
Mailing address
5111 N 10TH ST # 269, MCALLEN, TX 78504-2835
(956) 720-4139
(956) 720-4167
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010933
TX
Other
Enumeration date
09/11/2006
Last updated
05/06/2015
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