Organization
FOUNTAIN OF LIFE HEALTHCARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBIAGELI PHYLLIS ANYANECHI (ADMINISTRATOR)
(404) 791-7890
Entity
Organization
Contact information
Practice address
928 HUNT RD, JONESBORO, GA 30236-2304
(404) 791-7890
(404) 791-7890
Mailing address
928 HUNT RD, JONESBORO, GA 30236-2304
(404) 791-7890
(404) 791-7890
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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