Organization
FOUNTAIN OF CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODWIN N NOBEL MD (CEO)
(317) 756-8176
Entity
Organization
Contact information
Practice address
6127 PALOMAR CIR, INDIANAPOLIS, IN 46234-9062
(317) 756-8176
(317) 602-5329
Mailing address
6127 PALOMAR CIR, INDIANAPOLIS, IN 46234-9062
(317) 756-8176
(317) 602-5329
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
11-012640-1
IN
Other
Enumeration date
08/13/2011
Last updated
08/13/2011
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