Organization Name: | FOUNTAIN OF LOVE ASSISTED LIVING SEVICES INC |
NPI Number: | 1497160477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANELL CLARK (PRESIDENT) |
Mailing Address: | 21820 Beverly St Oak Park |
State: | MI US |
Postal Code: | 482372503 |
Phone Number: | 2487967112 |
Fax Number: | 2488086052 |
NPI Enumeration Date: | 06/27/2014 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |