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Organization

FOUNTAIN OF YOUTH LLC

Active
Other names
Care Givers Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN P WEST (OWNER)
(865) 755-8324
Entity
Organization

Contact information

Practice address
120 CENTER PARK DR, SUITE 9, KNOXVILLE, TN 37922-2117
(865) 755-8324
Mailing address
120 CENTER PARK DR, SUITE 9, KNOXVILLE, TN 37922-2117
(865) 755-8324

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000013818
TN

Other

Enumeration date
01/13/2014
Last updated
01/13/2014
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