Organization
FOUNTAINS HOME HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE R. DOUGLAS (ADMINISTRATOR)
(469) 310-0538
Entity
Organization
Contact information
Practice address
2974 LBJ FRWY, SUITE 495, DALLAS, TX 75234
(469) 310-0538
(469) 310-0539
Mailing address
2974 LBJ FRWY, SUITE 495, DALLAS, TX 75234
(469) 310-0538
(469) 310-0539
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171342201
—
TX
Enumeration date
10/04/2006
Last updated
02/26/2014
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