Forever Young Group Care Llc in Fayetteville - Community/behavioral Health
Forever Young Group Care Llc - NPI 1780713834
Forever Young Group Care Llc is a Community/behavioral Health in Fayetteville, North Carolina. Forever Young Group Care Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Forever Young Group Care Llc is 1780713834. The last update date is 2020-08-22.
Forever Young Group Care Llc's current location address is 351 Wagoner Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9108649148 and fax number 9108642548. The mailing address for Forever Young Group Care Llc is 351 Wagoner Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Forever Young Group Care Llc |
|---|---|
| Address | 351 Wagoner Dr, Fayetteville, North Carolina |
| Phone Number | 9108649148 |
| Fax Number | 9108642548 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Flood Jerry |
| Credentials | QP, BA |
| Telephone Number | 9108649148 |
NPI Number Detail
| NPI Number | 1780713834 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 351 Wagoner Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283034608 |
| Phone Number | 9108649148 |
| Fax Number | 9108642548 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8301520 | NC | -- |
Post Comment/ Review Below
What is the Forever Young Group Care Llc's unique identification number?
The Forever Young Group Care Llc has been assigned the NPI (National Provider Identifier) Number 1780713834 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Forever Young Group Care Llc's physical address?
The Forever Young Group Care Llc is physically located at 351 Wagoner Dr, in the city of Fayetteville, NC, with the postal code 283034608.
What is Forever Young Group Care Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Forever Young Group Care Llc is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780713834 to Forever Young Group Care Llc?
The Forever Young Group Care Llc received its 1780713834 assignment from the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the Forever Young Group Care Llc's information last updated?
The Forever Young Group Care Llc's information was last updated on 2020-08-22.