CCN: 227654 NPI: 1558768986 Organization

FOUNTAIN HOME HEALTHCARE SERVICES LLC

160 WINTHROP AVE
LAWRENCE, MA 018433840

Contact Information

Phone 6039432817
Enumeration Date 2014-12-01
Last Updated 2015-01-09

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 1

cbsaActualGeographicLocation 15764

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 15764

providerType 36

specialPaymentIndicator

carrierCode 14212

localityCode 99