NPI 1558672329

Fountain of Life Wellness Center

Organisation Voluntary or Charitable Agency Tacoma, WA

Practice location

Address: 1314 72nd St E, Tacoma, WA 98404-3343
Phone: (253) 380-5263
Mailing address: 14010 68th Ave E, Puyallup, WA 98373-8706

Authorised official

Name: Brenda Milewski
Title: Executive Director
Phone: (253) 380-5263

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X Licence 602786502 (WA)

Other Voluntary or Charitable providers in Washington →

Registry record

NPI: 1558672329
Entity type: Organization
NPI issued: 27 Jun 2010
Record last updated: 27 Jun 2010

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.