Organization · Type 2 NPI
Fountain of Youth Adult Day Center
Adult Day Care Clinic/Center · Hammond, IN
NPI number
1093598633
Active
Practice location
700 Sibley St
Hammond, IN 46320-1635
Mailing address
54 W 153rd Pl
South Holland, IL 60473-1007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1093598633
Fountain of Youth Adult Day Center's National Provider Identifier is 1093598633, issued on Aug 16, 2023. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Hammond, IN. The record was last updated on Aug 16, 2023.