Fountain Of Youth, Inc in Fort Smith - Voluntary Or Charitable
Fountain Of Youth, Inc - NPI 1225202179
Fountain Of Youth, Inc is a Voluntary Or Charitable in Fort Smith, Arkansas. Fountain Of Youth, Inc practices all healthcare services and medical treatments related to Voluntary Or Charitable. The NPI Number for Fountain Of Youth, Inc is 1225202179. The last update date is 2012-09-05.
Fountain Of Youth, Inc's current location address is 2409 S 56th St, Fort Smith, Arkansas. You can contact this provider via phone number 4794847782 and fax number 4794847951. The mailing address for Fountain Of Youth, Inc is 2409 S 56th St, Fort Smith, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fountain Of Youth, Inc |
|---|---|
| Address | 2409 S 56th St, Fort Smith, Arkansas |
| Phone Number | 4794847782 |
| Fax Number | 4794847951 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SITE DIREC |
|---|---|
| Authorized Official Name | Foutch Michelle |
| Telephone Number | 4794847782 |
NPI Number Detail
| NPI Number | 1225202179 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2012-09-05 |
Provider Mailing Address Detail
| Address | 2409 S 56th St |
|---|---|
| City | Fort Smith |
| State | Arkansas (AR) |
| Post Code | 729033753 |
| Phone Number | 4794847782 |
| Fax Number | 4794847951 |
Provider's Primary Taxonomy Detail
| Speciality | Voluntary Or Charitable |
|---|---|
| Taxonomy | 251V00000X |
| Licence No | 105 |
|
Definition: Nonprofit health or human services agency supported by charitable donations and volunteers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 165464755 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Fountain Of Youth, Inc by the Centers for Medicare & Medicaid Services?
The Fountain Of Youth, Inc has been issued the NPI (National Provider Identifier) 1225202179. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Fountain Of Youth, Inc is physically located?
The Fountain Of Youth, Inc is situated at the following address: 2409 S 56Th St, Fort Smith, AR 729033753.
What is the area of specialization for Fountain Of Youth, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Fountain Of Youth, Inc is Voluntary Or Charitable, and the corresponding taxonomy code that categorizes this area of expertise is 251V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225202179 to Fountain Of Youth, Inc?
The Centers for Medicare & Medicaid Services assigned the 1225202179 to Fountain Of Youth, Inc on 2008-04-22.
When was the information regarding Fountain Of Youth, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fountain Of Youth, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-09-05.
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