Fountain Of Youth Llc Residential Care
Specialty details in registry · Mount Olive, NC
At a glance
1116 S Church St, Mount Olive, NC 28365-2504
NPPES record updated Jan 13, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1116 S Church StMount Olive, NC 28365-2504
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 311ZA0620X
- Enumeration date
- Jan 26, 2024
- Record updated
- Jan 13, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251S00000X
Specialty details in registry
311ZA0620X · Primary
Specialty details in registry
347C00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1116 S Church StMount Olive, NC 28365-2504
- Phone
- (919) 299-4539
Mailing address
810 KILARNEY DRFREDERICKSBURG, VA 224076558
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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