Organization · Type 2 NPI

Fountain of Love

Foster Care Agency · Detroit, MI

NPI number 1417560269 Active

Practice location

2140 Dickerson St
Detroit, MI 48215-2640

Call (313) 543-4480 Map

Mailing address

307 Mandy Rose Trce
Stockbridge, GA 30281-2353

Specialties and licenses

Taxonomy	Code	License
Foster Care Agency Primary	253J00000X	None listed

Foster Care Agency: A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

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NPI record

NPI: 1417560269
Entity type: Organization (Type 2)
Issued: Aug 30, 2020
Last updated: Aug 30, 2020
Status: Active
Subpart: Yes of Global Precision Investment Group LLC

Other names

Fountain of Love · doing business as

Authorized official

Ms. Tamika Burnette
Health Care Worker
(313) 543-4480

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417560269

Fountain of Love's National Provider Identifier is 1417560269, issued on Aug 30, 2020. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Detroit, MI. The record was last updated on Aug 30, 2020.