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

FOUNTAIN OF YOUTH, LLC

Active Organization

FOUNTAIN OF YOUTH, LLC is a Clinic/Center organization located in TERRE HAUTE, Indiana. NPI 1316205115 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · TERRE HAUTE, IN

Registration Details

NPI Number
1316205115
Provider Type
Organization
NPI Issued
Apr 30, 2012 (14.308769452291 yrs)
Last Updated
Apr 30, 2012
License
71002624A (IN)

Practice Information

Address
8810 WABASH AVE
TERRE HAUTE, IN, 478033908
Browse IN providers · Browse ZIP 47803
Phone
8122394090
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in TERRE HAUTE, IN

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.