FOUNTAIN OF YOUTH, INC

Voluntary or Charitable

Active Organization
NPI: 1225202179

Practice Address

2409 S 56TH ST
SUITE 121
Fort Smith, AR 72903

Phone: (479) 484-7782

Specialties

Specialty Code Primary License
Voluntary or Charitable 251V00000X Yes 105 (AR)

Frequently Asked Questions

NPI 1225202179 is the National Provider Identifier for FOUNTAIN OF YOUTH, INC, a Voluntary or Charitable provider located in Fort Smith, AR. This NPI was enumerated on April 22, 2008.

Quick Facts

NPI
1225202179
Type
Organization
Enumerated
Apr 22, 2008
Last Updated
Sep 5, 2012

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