Forever Young Group Care

LBN: Forever Young Group Care
Forever Young Group Care is an health care organization with primary practice located at 6121 Hilco Dr , Fayetteville NC 28314-2024. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Forever Young Group Care can be contacted via phone (910) 527-0258, or through Flood, Jerry Lorenzo via phone (910) 527-0258.

Contact Information

Primary practice address
6121 Hilco Dr Fayetteville NC 28314-2024
Phone: (910) 527-0258
Fax: (910) 864-2548
Website:
Map and Directions
Authorized official contact:
Name: Flood, Jerry Lorenzo Bachelor of Arts (BA)
Phone: (910) 527-0258

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL026562 North Carolina

Profile Details

NPI number 1861530073
LBN Legal business name Forever Young Group Care
DBA Doing business as
Authorized official Flood, Jerry Lorenzo Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861530073 NPPES
North Carolina MEDICAID 6604010

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