Organization
FOUNTAIN FAMILY INC
Active
Other names
Homewatch CareGivers Atlanta East
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L WHITEHOUSE (PRESIDENT)
(404) 521-0404
Entity
Organization
Contact information
Practice address
457 FLAT SHOALS AVE SE, ATLANTA, GA 30316-1962
(404) 521-0404
(404) 521-0403
Mailing address
457 FLAT SHOALS AVE SE, ATLANTA, GA 30316-1962
(404) 521-0404
(404) 521-0403
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
044R0549
GA
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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