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Fountain Of Youth Llc Residential Care
Adult Care Home Facility in Mount Olive, North Carolina
NPI 1306608195

Fountain Of Youth Llc Residential Care is an Adult Care Home Facility based in Fredericksburg, NC and is specialized in Adult Care Home. Fountain Of Youth Llc Residential Care practices in Mount Olive, NC. The NPI Number for Fountain Of Youth Llc Residential Care is 1306608195 and holds a License No. (North Carolina).

The current practice location address for Fountain Of Youth Llc Residential Care is 1116 S Church St, Mount Olive, NC and can be reached out via phone at 919-299-4539.

Location: 1116 S Church St, Mount Olive, NC, 22407-6558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306608195
Provider Name
Fountain Of Youth Llc Residential Care
Credential
Provider Entity Type
Organization
Address
1116 S Church St, Mount Olive, NC, 22407-6558
Phone Number
919-299-4539
Fax Number
Provider Enumeration Date
01/26/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1116 S Church St
City
Mount Olive
State
North Carolina
Zip
28365-2504
Phone Number
919-299-4539
Fax Number
person
Provider Business Mailing Address Details
Address
1116 S Church St
City
Mount Olive
State
North Carolina
Zip
28365-2504
Phone Number
919-299-4539
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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