Fountain of Life Home Healthcare
Fountain of Life Home Healthcare is a Home Health Agency in Milwaukee, Wisconsin. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
11414 W Park Pl Ste 202Milwaukee, WI 53224-3500
Phone: (414) 716-6146
Fax: (414) 509-1635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|
Record details
| NPI number | 1528673738 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Stevenson — Owner · (414) 716-6146 |
| NPI enumerated | September 14, 2020 |
| Last updated in NPPES | September 14, 2020 |
| Certification date | September 14, 2020 |
| Mailing address | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 |
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