Organization
FOUNTAIN OF YOUTH ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JASMEKA COLLINS (DIRECTOR)
(708) 970-9475
Entity
Organization
Contact information
Practice address
700 SIBLEY ST, HAMMOND, IN 46320-1635
(708) 970-9475
Mailing address
54 W 153RD PL, SOUTH HOLLAND, IL 60473-1007
(708) 970-9475
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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