A Fountain of Youth Home Care LLC

NPI #1134947591 in Ruskin, Florida

Provider Information

NPI Number: 1134947591
Entity Type: Organization
Organization Name: A Fountain of Youth Home Care LLC
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Oct 2, 2024
Last Updated: Oct 2, 2024

Practice Location

Address: 2229 RICHWOOD PIKE DR
City: Ruskin
State: Florida
ZIP Code: 33570-8003
Phone: (813) 820-8328

Authorized Official

Name: CHANTELLE LEWIS
Title: ADMINISTRATOR
Phone: (813) 820-8328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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