institution
Forever Young Secured Community
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raeford, North Carolina
NPI 1073650446

Forever Young Secured Community is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fayetteville, NC. Forever Young Secured Community practices in Raeford, NC. The NPI Number for Forever Young Secured Community is 1073650446 and holds a License No. MHL047101 (North Carolina).

The current practice location address for Forever Young Secured Community is 181 Bostic Rd, Raeford, NC and can be reached out via phone at 910-527-0258 and via fax at 910-864-2548.

Location: 181 Bostic Rd, Raeford, NC, 28314-1890
institution
Provider Profile Details
NPI Number
1073650446
Provider Name
Forever Young Secured Community
Credential
Provider Entity Type
Organization
Address
181 Bostic Rd, Raeford, NC, 28314-1890
Phone Number
910-527-0258
Fax Number
910-864-2548
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6604011 05 NC
institution
Provider Business Practice Location Address Details
Address
181 Bostic Rd
City
State
Zip
28376-6101
Phone Number
910-527-0258
Fax Number
910-864-2548
person
Provider Business Mailing Address Details
Address
181 Bostic Rd
City
State
Zip
28376-6101
Phone Number
910-527-0258
Fax Number
910-864-2548
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL047101 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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