Organization · Type 2 NPI

Forever Young Secured Community

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raeford, NC

NPI number 1073650446 Active

Practice location

181 Bostic Rd
Raeford, NC 28376-6101

Call (910) 527-0258 Map

Fax (910) 864-2548

Mailing address

1133 Chestnut Wood Dr
Fayetteville, NC 28314-1890

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL047101 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1073650446

Forever Young Secured Community's National Provider Identifier is 1073650446, issued on Feb 1, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Raeford, NC. The record was last updated on Apr 8, 2013.