Organization
FOUNTAIN SUPPORT SERVICES
Active
Organization
FOUNTAIN SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORDIERES FOUNTAIN (DIRECTOR)
(850) 477-3171
Entity
Organization
Contact information
Practice address
7957 PERTH AVE, PENSACOLA, FL 32534-4056
(850) 477-3171
Mailing address
7957 PERTH AVE, PENSACOLA, FL 32534-4056
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2007
Last updated
12/22/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up