Forever Young Group Care

NPI 1861530073 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1861530073
Enumeration Date 02/01/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JERRY LORENZO JERRY
Position DIRECTOR
Phone (910) 527-0258
Fax (910) 864-2548
Practice Location
6121 HILCO DR
FAYETTEVILLE NC, 28314-2024, US
Phone (910) 527-0258
Fax (910) 864-2548
Business Location
1133 CHESTNUT WOOD DR
FAYETTEVILLE NC, 28314-1890, US
Phone (910) 527-0258
Fax (910) 864-2548
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number MHL026562
Remove 1861530073 NPI Number
 

According to our database, Forever Young Group Care NPI is 1861530073, taxonomy code is 320600000X and license number is MHL026562, license state is located at North Carolina. Forever Young Group Care physically located at 6121 Hilco Dr, Fayetteville NC, 28314-2024. NPI Number 1033115704 has the healthcare provider type.

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1861530073 NPI number is provided on an as is basis without warranty of any kind. 1861530073 is maintained by the National Plan & Provider Enumeration System. The contents of Forever Young Group Care are for informational purposes only.