1225202179 FOUNTAIN OF YOUTH, INC

Voluntary or Charitable Agency

Active

Basic Information

Organization Name
FOUNTAIN OF YOUTH, INC
Enumeration Date
April 22, 2008
Last Update
September 5, 2012
Authorized Official
MICHELLE FOUTCH
SITE DIRECTOR
Phone: (479) 484-7782

Practice Location

Address
2409 S 56TH ST
SUITE 121
FORT SMITH, AR 729033753
Phone
(479) 484-7782
Fax
(479) 484-7951

Mailing Address

Address
2409 S 56TH ST
SUITE 121
FORT SMITH, AR 729033753
Phone
(479) 484-7782
Fax
(479) 484-7951

Specialties & Taxonomies

Specialty Code Classification License State Primary
Voluntary or Charitable Agency
251V00000X Voluntary or Charitable 105 AR Primary

Other Identifiers

Identifier Type State Issuer
165464755 05 AR N/A

Frequently Asked Questions

What is FOUNTAIN OF YOUTH, INC's NPI number?
FOUNTAIN OF YOUTH, INC's NPI number is 1225202179.
Which doctor has NPI number 1225202179?
The doctor with NPI number 1225202179 is FOUNTAIN OF YOUTH, INC.
What is FOUNTAIN OF YOUTH, INC's practice address?
FOUNTAIN OF YOUTH, INC's practice address is 2409 S 56TH ST, SUITE 121, FORT SMITH, AR, 729033753.
Which doctor practices at 2409 S 56TH ST, SUITE 121, FORT SMITH, AR, 729033753?
FOUNTAIN OF YOUTH, INC practices at 2409 S 56TH ST, SUITE 121, FORT SMITH, AR, 729033753.
What is FOUNTAIN OF YOUTH, INC's phone number?
FOUNTAIN OF YOUTH, INC's phone number is (479) 484-7782.
Who is (479) 484-7782?
(479) 484-7782 is the phone number for FOUNTAIN OF YOUTH, INC.
What is FOUNTAIN OF YOUTH, INC's specialty?
FOUNTAIN OF YOUTH, INC's specialty is Voluntary or Charitable Agency.
What type of doctor is FOUNTAIN OF YOUTH, INC?
FOUNTAIN OF YOUTH, INC is a Voluntary or Charitable Agency.
Is FOUNTAIN OF YOUTH, INC a Voluntary or Charitable?
Yes, FOUNTAIN OF YOUTH, INC is a Voluntary or Charitable.
Is FOUNTAIN OF YOUTH, INC still practicing?
Yes, FOUNTAIN OF YOUTH, INC is currently practicing.
Is FOUNTAIN OF YOUTH, INC accepting new patients?
FOUNTAIN OF YOUTH, INC may be accepting new patients. Please call their office at (479) 484-7782 to inquire about availability.
Is NPI 1225202179 still active?
Yes, NPI 1225202179 is currently active.
Where does FOUNTAIN OF YOUTH, INC practice?
FOUNTAIN OF YOUTH, INC practices in FORT SMITH, AR.