| Organization Name: | FOUNDING FATHERS HEALTH CARE, INC. |
| NPI Number: | 1003199357 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRYAN LANGLEY (ADMINISTRATOR/CEO) |
| Mailing Address: | 702 S Primrose Ave Monrovia |
| State: | CA US |
| Postal Code: | 910163436 |
| Phone Number: | 6262569060 |
| Fax Number: | 6262569065 |
| NPI Enumeration Date: | 09/23/2011 |
| NPI Last Update Date: | 12/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |