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1306608195
FOUNTAIN OF YOUTH LLC RESIDENTIAL CARE
MOUNT OLIVE, NC
NPI
1306608195
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Entity Type
Organization
Authorized Contact
SADIO SYKES
Administer
571-484-4472
Organization Subpart ?
No
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2024-01-26
Last Update Date
2024-01-26
Business Address
FOUNTAIN OF YOUTH LLC RESIDENTIAL CARE
1116 S CHURCH ST
MOUNT OLIVE, NC 28365-2504
Phone number: 919-299-4539
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Mailing Address
FOUNTAIN OF YOUTH LLC RESIDENTIAL CARE
810 KILARNEY DR
FREDERICKSBURG, VA 22407-6558
Phone number: 571-484-4472
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