FO
FOUNTAIN OF YOUTH LLC RESIDENTIAL CARE
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
MOUNT OLIVE, NC
Licensed since
2024
Rate
—
Federal identifiers
NPI registry number1306608195
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameSADIO SYKES
TitleADMINISTER
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