Mr. Jack Fountain III
Mr. Jack Fountain III is a Personal Care Attendant in Canton, Ohio. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
2232 Times Ave SWCanton, OH 44706-2116
Phone: (330) 412-7963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1831347129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2008 |
| Last updated in NPPES | August 29, 2008 |
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