Fountain of Youth Community Services LLC

NPI #1619661238 in Va Beach, Virginia

Provider Information

NPI Number
1619661238
Entity Type
Organization
Organization Name
Fountain of Youth Community Services LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Jun 6, 2023
Last Updated
Jun 6, 2023

Practice Location

Address
3618 CHASE CT
ZIP Code
23462-6805
Phone
(757) 305-6887

Authorized Official

Name
MR. DREQUEZ LAMBERT
Title
CEO
Phone
(757) 305-6887

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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