institution
Forever Young Group Care, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, North Carolina
NPI 1619014073

Forever Young Group Care, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fayetteville, NC. Forever Young Group Care, Llc practices in Fayetteville, NC. The NPI Number for Forever Young Group Care, Llc is 1619014073 and holds a License No. MHL026678 (North Carolina).

The current practice location address for Forever Young Group Care, Llc is 975 Comet Cir, Fayetteville, NC and can be reached out via phone at 910-527-0258 and via fax at 910-864-2548. You can also correspond with Forever Young Group Care, Llc through the mailing address at 1133 CHESTNUT WOOD DR, FAYETTEVILLE, NC - 28314-1890 (mailing address contact number: 910-527-0258).

Location: 975 Comet Cir, Fayetteville, NC, 28314-1890
institution
Provider Profile Details
NPI Number
1619014073
Provider Name
Forever Young Group Care, Llc
Credential
Provider Entity Type
Organization
Address
975 Comet Cir, Fayetteville, 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
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603934 05 NC
institution
Provider Business Practice Location Address Details
Address
975 Comet Cir
City
State
Zip
28314-0400
Phone Number
910-527-0258
Fax Number
910-864-2548
person
Provider Business Mailing Address Details
Address
975 Comet Cir
City
State
Zip
28314-0400
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.
MHL026678 (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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