NPI 1417560269
Fountain of Love
Practice location
- Address
- 2140 Dickerson St, Detroit, MI 48215-2640
- Phone
- (313) 543-4480
- Mailing address
- 307 Mandy Rose Trce, Stockbridge, GA 30281-2353
Authorised official
- Name
- Tamika Burnette
- Title
- Health Care Worker
- Phone
- (313) 543-4480
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1417560269
- Entity type
- Organization
- NPI issued
- 30 Aug 2020
- Record last updated
- 30 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.