| Organization Name: | FOUNTAIN FAMILY INC |
| NPI Number: | 1447694088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY L WHITEHOUSE (PRESIDENT) |
| Mailing Address: | 457 Flat Shoals Ave Se Atlanta |
| State: | GA US |
| Postal Code: | 303161962 |
| Phone Number: | 4045210404 |
| Fax Number: | 4045210403 |
| NPI Enumeration Date: | 04/25/2013 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 044R0549 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |