Fountain of Youth
Fountain of Youth is an Adult Day Care Clinic/Center in Staten Island, New York. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
26 Dumont AveStaten Island, NY 10305-1450
Phone: (718) 667-8510
Fax: (718) 667-8884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Day Care Clinic/Center (primary) | Taxonomy 261QA0600X |
|---|
Record details
| NPI number | 1144630963 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brent Alexander — President · (718) 667-8521 |
| NPI enumerated | May 1, 2014 |
| Last updated in NPPES | May 1, 2014 |
| Mailing address | 26 Dumont Ave, Staten Island, NY 10305-1450 |
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