Organization
FOREVER YOUNG CARE SERVICES, INC.
Active
Parent organization
FOREVER YOUNG CARE SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOREVER YOUNG CARE SERVICES, INC.
Authorized official
MS. SERBRENA CRAWFORD (OWNER/AGENCY DIRECTOR)
(704) 869-9790
Entity
Organization
Contact information
Practice address
1006 UNION RD STE A, GASTONIA, NC 28054-5591
(704) 869-9790
(704) 869-9791
Mailing address
1006 UNION RD STE A, GASTONIA, NC 28054-5591
(704) 869-9790
(704) 869-9791
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4066
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC4066
DIVISION OF HEALTH SERVICE REGULATION (DHSR)
NC
Enumeration date
03/28/2012
Last updated
07/21/2022
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