| NPI Details | |
|---|---|
| NPI | 1871650994 |
| Enumeration Date | 01/02/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | JON D. JON |
| Position | ADMINISTRATOR |
| Phone | (419) 238-0715 |
| Fax | (419) 238-1625 |
| Practice Location | |
|---|---|
| 120 W. MAIN ST. SUITE 200 VAN WERT OH, 45891-1704, US |
|
| Phone | (419) 238-0715 |
| Fax | (419) 238-1625 |
| Business Location | |
|---|---|
| 120 W. MAIN ST. SUITE 200 VAN WERT OH, 45891-1704, US |
|
| Phone | (419) 238-0715 |
| Fax | (419) 238-1625 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 251E00000X |
| License State | Ohio |
| License Number | 368142 |
| Remove 1871650994 NPI Number | |
According to our database, Fountain Park Home Care, Llc NPI is 1871650994, taxonomy code is 251E00000X and license number is 368142, license state is located at Ohio. Fountain Park Home Care, Llc physically located at 120 W. Main St., Van Wert OH, 45891-1704. NPI Number 1033115704 has the healthcare provider type.
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1871650994 NPI number is provided on an as is basis without warranty of any kind. 1871650994 is maintained by the National Plan & Provider Enumeration System. The contents of Fountain Park Home Care, Llc are for informational purposes only.
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