# FOUNTAIN OF LIFE HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1720380504
- **Authorized official:** MRS. ESTHER EKATA OKUNADE RN (DON/GENERAL PARTNER)
- **Authorized official phone:** (832) 922-0775

## Contact information

- **Practice address:** 8307 ROYAL GROVE CT, HOUSTON, TX 77083-5464
- **Practice address phone:** (281) 769-8297
- **Practice address fax:** (281) 940-8823
- **Mailing address:** 8307 ROYAL GROVE CT, HOUSTON, TX 77083-5464
- **Mailing address phone:** (281) 769-8297
- **Mailing address fax:** (281) 940-8823

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 11/29/2010