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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOUNTAIN OF YOUTH LLC RESIDENTIAL CARE

Active Organization

Assisted Living Facility · MOUNT OLIVE, NC

Registration Details

NPI Number
1306608195
Provider Type
Organization
NPI Issued
Jan 26, 2024 (2.2605275994721 yrs)
Last Updated
Jan 13, 2025

Practice Information

Address
1116 S CHURCH ST
MOUNT OLIVE, NC, 283652504
Browse NC providers · Browse ZIP 28365
Phone
9192994539
Primary Specialty
Assisted Living Facility
311ZA0620X
Additional Specialty
Private Vehicle
Additional Specialty
Assisted Living Facility

Other Assisted Living Facility Organizations in MOUNT OLIVE, NC

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.