Organization
FOREVER YOUNG ADULT CARE
Active
Other names
Forever Young Child Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATAVIA DOMINIQUE CARTER (MANANGER)
(281) 786-9809
Entity
Organization
Contact information
Practice address
12801 ROYDON DR. APT 2215, HOUSTON, TX 77034
(281) 786-9809
Mailing address
12801 ROYDON DR APT 2215, HOUSTON, TX 77034-4879
(281) 786-9809
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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