OrganizationActive
Fountain of Life Wellness Center
NPI 1558672329 · Voluntary or Charitable Agency · Tacoma, WA
Provider details
- NPI number
- 1558672329
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Brenda Milewski, Executive Director(253) 380-5263
- License
- 602786502 (WA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1314 72nd St E
Tacoma, WA 98404-3343
Phone: (253) 380-5263
Street-level locationGet directions
Mailing address
14010 68th Ave E
Puyallup, WA 98373-8706
Other names (DBA / former)
- Doing business as
- Fountain of Life Center
Registry dates
- Enumerated
- 2010-06-27
- Last updated
- 2010-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.