Organization · Type 2 NPI

Fountain of Youth

Adult Day Care Clinic/Center · Staten Island, NY

NPI number 1144630963 Active

Practice location

26 Dumont Ave
Staten Island, NY 10305-1450

Call (718) 667-8510 Map

Fax (718) 667-8884

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

Adult Day Care Clinic/Center: Definition to come...

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About NPI 1144630963

Fountain of Youth's National Provider Identifier is 1144630963, issued on May 1, 2014. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Staten Island, NY. The record was last updated on May 1, 2014.