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Fountain Of Life Healthcare INC.

Home Health in Plainfield, IL. Organization (NPI-2).

NPI number1700567005
StatusActive
Last updated in NPPESJul 28, 2023

Details

NPI
1700567005
Entity type
Organization (NPI-2)
Legal business name
Fountain Of Life Healthcare INC.
Organization subpart
No
Enumeration date
Jul 28, 2023
Certification date
Jul 28, 2023
Last updated
Jul 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
253Z00000X In Home Supportive Care––

Practice location

2803 Lektorich Ln
Plainfield, IL 60586-7214

Phone 331-231-0380

Mailing address

2803 Lektorich Ln
Plainfield, IL 60586-7214

Phone 331-231-0380

Authorized official

Tolulope Lasaki
Owner
3312310380

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