FOUNTAIN OF LIFE WELLNESS CENTER NPI 1558672329

NPI Information

NPI: 1558672329
Provider Name: FOUNTAIN OF LIFE WELLNESS CENTER

Doing Business As: FOUNTAIN OF LIFE CENTER

Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
1314 72ND ST E
TACOMA, WA
ZIP 98404
Phone: (253) 380-5263
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FOUNTAIN OF LIFE WELLNESS CENTER is a voluntary or charitable in Tacoma, WA. FOUNTAIN OF LIFE WELLNESS CENTER NPI is 1558672329. The provider is registered as an organization entity type.
The provider Is Doing Business As Fountain Of Life Center.

The provider's business location address is:

1314 72ND ST E
TACOMA, WA
ZIP 98404-343
Phone: (253) 380-5263

The provider's authorized official is Brenda Milewski .
The authorized official title is Executive Director and has the following contact phone number (253) 380-5263.

The enumeration date for this NPI number is 6/27/2010 and was last updated on 6/27/2010.

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	251V00000X	Voluntary or Charitable		602786502	WASHINGTON	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: 4/28/2024

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