Provider Demographics
NPI:1871801175
Name:FOUTAIN LINK HEALTH CARE SERVICE INC
Entity type:Organization
Organization Name:FOUTAIN LINK HEALTH CARE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN BSN
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTINS
Authorized Official - Middle Name:C
Authorized Official - Last Name:ONYENEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-618-7000
Mailing Address - Street 1:74 TERRA BELLA DR
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-3340
Mailing Address - Country:US
Mailing Address - Phone:832-618-7000
Mailing Address - Fax:281-692-0163
Practice Address - Street 1:74 TERRA BELLA DR
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-3340
Practice Address - Country:US
Practice Address - Phone:832-618-7000
Practice Address - Fax:281-692-0163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health