Organization
FOUNTAIN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY MACHARIA RN (OWNER)
(614) 772-5726
Entity
Organization
Contact information
Practice address
2876 WESTERVILLE RD, COLUMBUS, OH 43224-4463
(614) 772-5726
Mailing address
2876 WESTERVILLE RD, COLUMBUS, OH 43224-4463
(614) 772-5726
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
11/09/2022
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