# NOAH HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOUNTAIN HOME HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952689002
- **Authorized official:** MS. CORINE OSUKOYA (ASST. ADMINISTRATOR)
- **Authorized official phone:** (817) 274-1517

## Contact information

- **Practice address:** 2008 E RANDOL MILL RD, SUITE \#113, ARLINGTON, TX 76011-8205
- **Practice address phone:** (817) 274-1517
- **Mailing address:** 2008 E RANDOL MILL RD, SUITE \#113, ARLINGTON, TX 76011-8205
- **Mailing address phone:** (817) 274-1517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 009024 | TX | Yes |

## Other

- **Enumeration date:** 07/22/2011
- **Last updated:** 07/22/2011