Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC
Active OrganizationFOUNTAIN OF YOUTH ACTIVITY CENTER, LLC is a Program of All-Inclusive Care for the Elderly (PACE) organization located in RAYTOWN, Missouri. NPI 1134797715 is currently active in the NPPES registry. Verify at CMS.
Program of All-Inclusive Care for the Elderly (PACE) · RAYTOWN, MO
Registration Details
- NPI Number
- 1134797715
- Provider Type
- Organization
- NPI Issued
- Jun 11, 2021 (5.208255112747 yrs)
- Last Updated
- Jun 11, 2021
Practice Information
- Address
-
8801 E 63RD ST STE 101RAYTOWN, MO, 641334865Browse MO providers · Browse ZIP 64133
- Phone
- 8168860442
- Fax
- 8165039408
- Primary Specialty
-
Program of All-Inclusive Care for the Elderly (PACE)
251T00000X
- Additional Specialty
- Program of All-Inclusive Care for the Elderly (PACE)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.