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Fountain Of Life Home Healthcare
Home Health Agency in Milwaukee, Wisconsin
NPI 1528673738

Fountain Of Life Home Healthcare is a Home Health Agency based in Milwaukee, WI. Fountain Of Life Home Healthcare practices in Milwaukee, WI. The NPI Number for Fountain Of Life Home Healthcare is 1528673738 and holds a License No. (Wisconsin).

The current practice location address for Fountain Of Life Home Healthcare is 11414 W Park Pl Ste 202, Milwaukee, WI and can be reached out via phone at 414-716-6146 and via fax at 414-509-1635.

Location: 11414 W Park Pl Ste 202, Milwaukee, WI, 53224-3500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528673738
Provider Name
Fountain Of Life Home Healthcare
Credential
Provider Entity Type
Organization
Address
11414 W Park Pl Ste 202, Milwaukee, WI, 53224-3500
Phone Number
414-716-6146
Fax Number
414-509-1635
Provider Enumeration Date
09/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100102050 05 WI
institution
Provider Business Practice Location Address Details
Address
11414 W Park Pl Ste 202
City
Milwaukee
State
Wisconsin
Zip
53224-3500
Phone Number
414-716-6146
Fax Number
414-509-1635
person
Provider Business Mailing Address Details
Address
11414 W Park Pl Ste 202
City
Milwaukee
State
Wisconsin
Zip
53224-3500
Phone Number
414-716-6146
Fax Number
414-509-1635
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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