Organization
FOUNTAIN VENTURES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOFFI AGAMAHHIHEWODO (DIRECTOR)
(281) 239-7111
Entity
Organization
Contact information
Practice address
3926 AVENUE H, 24, ROSENBERG, TX 77471-2842
(281) 239-7111
Mailing address
3926 AVENUE H, 24, ROSENBERG, TX 77471-2842
(281) 239-7111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
07/14/2010
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