Organization
FOUNTAIN OF LIFE HEALING HOME HEALTH LP
Active
Other names
Fountain of Life Home Health, LP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BRYAN CRANFORD (ADMINISTRATOR/OWNER)
(956) 720-4139
Entity
Organization
Contact information
Practice address
21779 HINOJOSA RD, EDINBURG, TX 78541-5065
(956) 720-4139
(956) 720-4167
Mailing address
5111 N 10TH ST # 269, MCALLEN, TX 78504-2835
(956) 720-4139
(956) 720-4167
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
09/11/2006
Last updated
05/06/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us