Fountain Of Youth Llc Residential Care

LBN: Fountain Of Youth Llc Residential Care
Fountain Of Youth Llc Residential Care is an health care organization with primary practice located at 1116 S Church St , Mount Olive NC 28365-2504. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Fountain Of Youth Llc Residential Care can be contacted via phone (919) 299-4539, or through Sykes, Sadio via phone (571) 484-4472.

Contact Information

Primary practice address
1116 S Church St Mount Olive NC 28365-2504
Phone: (919) 299-4539
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sykes, Sadio
Phone: (571) 484-4472

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1306608195
LBN Legal business name Fountain Of Youth Llc Residential Care
DBA Doing business as
Authorized official Sykes, Sadio
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2024
Last updated Jan 26th, 2024 - about 11 months 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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