FOUNTAIN OF LOVE ASSISTED LIVING SEVICES INC NPI 1497160477

NPI Information

NPI: 1497160477
Provider Name: FOUNTAIN OF LOVE ASSISTED LIVING SEVICES INC

Doing Business As: 4-WINGS TRANSPORTATION

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
21820 BEVERLY ST
OAK PARK, MI
ZIP 48237
Phone: (248) 796-7112
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FOUNTAIN OF LOVE ASSISTED LIVING SEVICES INC is an adult day care clinic center in Oak Park, MI. FOUNTAIN OF LOVE ASSISTED LIVING SEVICES INC NPI is 1497160477. The provider is registered as an organization entity type.
The provider Is Doing Business As 4-wings Transportation.

The provider's business location address is:

21820 BEVERLY ST
OAK PARK, MI
ZIP 48237-503
Phone: (248) 796-7112
Fax: (248) 808-6052

The provider's authorized official is Shanell Clark .
The authorized official title is President and has the following contact phone number (248) 796-8004.

The enumeration date for this NPI number is 6/27/2014 and was last updated on 4/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)				No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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