Organization
FOUNTAIN CARE INC
Active
Other names
FOUNTAIN HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MUTIAT OLATUNDUN LAWAL (DIRECTOR OF NURSING / ADMINISTRATOR)
(281) 575-9505
Entity
Organization
Contact information
Practice address
9127 MAGNOLIA VW, HOUSTON, TX 77099-6405
(281) 575-9505
(281) 495-0462
Mailing address
9127 MAGNOLIA VW, HOUSTON, TX 77099-6405
(281) 575-9505
(281) 495-0462
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
665509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
679479
MEDICARE
TX
Enumeration date
05/09/2006
Last updated
10/31/2007
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