| Forever Young Group Care, Llc | |
|
207 Harrison Dr N Wilson NC 27893-1791 | |
| (252) 293-9815 | |
| (252) 293-9816 |
| Full Name | Forever Young Group Care, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 207 Harrison Dr N, Wilson, North Carolina |
| Authorized Official Name and Position | Jerry Flood (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2522939815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Young Group Care, Llc 1133 Chestnut Wood Dr Fayetteville NC 28314-1890 Ph: (910) 527-0258 | Forever Young Group Care, Llc 207 Harrison Dr N Wilson NC 27893-1791 Ph: (252) 293-9815 |
| NPI Number | 1427245927 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427245927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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