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Organization
FOREVER YOUNG SECURED COMMUNITY
Active
Organization
FOREVER YOUNG SECURED COMMUNITY
Active
Parent organization
FOREVER YOUNG GROUP CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOREVER YOUNG GROUP CARE LLC
Authorized official
MRS. ALMA JEAN WESTON (ONWER)
(910) 527-0258
Entity
Organization
Contact information
Practice address
181 BOSTIC RD, RAEFORD, NC 28376-6101
(910) 527-0258
(910) 864-2548
Mailing address
1133 CHESTNUT WOOD DR, FAYETTEVILLE, NC 28314-1890
(910) 527-0258
(910) 864-2548
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL047101
NC
Other
Enumeration date
02/01/2007
Last updated
04/08/2013
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