Organization
FOUNTAIN OF PEACE LLC
Active
Parent organization
FOUNTAIN OF PEACE LLC
Other names
Fountain of Peace Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNTAIN OF PEACE LLC
Authorized official
YANICK MICHELLE CAMILLE (ADMINISTRATOR)
(813) 401-0074
Entity
Organization
Contact information
Practice address
3060 E COLLEGE AVE # 1009, RUSKIN, FL 33570-5220
(813) 401-0074
Mailing address
875 CALICO SCALLOP ST, RUSKIN, FL 33570-8099
(813) 401-0074
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/28/2023
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