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Organization

FOUNT OF LIFE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARQUIDA SIMS (CEO)
(470) 661-5505
Entity
Organization

Contact information

Practice address
580 CALEDON WAY, HAMPTON, GA 30228
(888) 260-4205
Mailing address
580 CALEDON WAY, HAMPTON, GA 30228-5338
(888) 306-6694

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
376K00000X
Nurse's Aide

Other

Enumeration date
09/11/2023
Last updated
11/20/2025
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