Fountain of Youth LLC Residential Care
Fountain of Youth LLC Residential Care is a Community/Behavioral Health Agency in Mount Olive, North Carolina. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1116 S Church StMount Olive, NC 28365-2504
Phone: (919) 299-4539
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Private Vehicle | Taxonomy 347C00000X |
Record details
| NPI number | 1306608195 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sadio Sykes — Administer · (571) 484-4472 |
| NPI enumerated | January 26, 2024 |
| Last updated in NPPES | January 13, 2025 |
| Certification date | January 13, 2025 |
| Mailing address | 810 Kilarney Dr, Fredericksburg, VA 22407-6558 |
Other providers in Mount Olive
-
Abundant Living Homes Inc
299 Robert F Hargrove Rd, Mount Olive, NC 28365-8338 · (919) 223-2709
-
Family First Support Center Inc
110 SW Center St, Mount Olive, NC 28365 · (919) 635-3344
-
Family First Support Center Inc
110 SW Center St, Mount Olive, NC 28365 · (919) 635-3344
-
Family First Support Center Inc
110 S Center St, Mount Olive, NC 28365 · (919) 635-3344
-
Valerie Judy Hewitt
110 S Center St, Mount Olive, NC 28365-2124 · (919) 635-3388