1134797715 FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC
PACE Provider Organization
Active
Basic Information
- Organization Name
- FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC
- Enumeration Date
- June 11, 2021
- Last Update
- June 11, 2021
- Authorized Official
- JOHN PARKER
EXECUTIVE DIRECTOR
Phone: (816) 503-9865
Practice Location
- Address
- 8801 E 63RD ST STE 101
RAYTOWN, MO 641334865 - Phone
- (816) 886-0442
- Fax
- (816) 503-9408
Mailing Address
- Address
- 8801 E 63RD ST STE 101
RAYTOWN, MO 641334865 - Phone
- (816) 503-9865
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Non-emergency Medical Transport (VAN) | N/A | N/A | No |
| PACE Provider Organization | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | N/A | N/A | Primary |
Digital Endpoints
DIRECT
john.parker@grayshelp.com
Frequently Asked Questions
What is FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC's NPI number?
FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC's NPI number is 1134797715.
Which doctor has NPI number 1134797715?
The doctor with NPI number 1134797715 is FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC.
What is FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC's practice address?
FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC's practice address is 8801 E 63RD ST STE 101, RAYTOWN, MO, 641334865.
Which doctor practices at 8801 E 63RD ST STE 101, RAYTOWN, MO, 641334865?
FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC practices at 8801 E 63RD ST STE 101, RAYTOWN, MO, 641334865.
What is FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC's phone number?
FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC's phone number is (816) 886-0442.
Who is (816) 886-0442?
(816) 886-0442 is the phone number for FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC.
What is FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC's specialty?
FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC's specialty is PACE Provider Organization.
What type of doctor is FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC?
FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC is a PACE Provider Organization.
Is FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization?
Yes, FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC is a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization.
Is FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC still practicing?
Yes, FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC is currently practicing.
Is FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC accepting new patients?
FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC may be accepting new patients. Please call their office at (816) 886-0442 to inquire about availability.
Is NPI 1134797715 still active?
Yes, NPI 1134797715 is currently active.
Where does FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC practice?
FOUNTAIN OF YOUTH ACTIVITY CENTER, LLC practices in RAYTOWN, MO.