OrganizationActive
Fountain of Love Assisted Living Sevices Inc
NPI 1497160477 · Adult Day Care Clinic/Center · Oak Park, MI
Provider details
- NPI number
- 1497160477
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Shanell Clark, President
Practice location
21820 Beverly St
Oak Park, MI 48237-2503
Phone: (248) 796-7112
Fax: (248) 808-6052
Mailing address
21820 Beverly St
Oak Park, MI 48237-2503
Registry dates
- Enumerated
- 2014-06-27
- Last updated
- 2016-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.