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Organization

FOREVER YOUNG SENIOR CARE CENTER

Active
Other names
FYSCC
Organization subpart
No

Provider details

NPI number
Authorized official
JASON MARK FERGUSON (EXECUTIVE DIRECTOR)
(484) 341-0496
Entity
Organization

Contact information

Practice address
1529 DEKALB PIKE, BLUE BELL, PA 19422-3349
(267) 303-3058
Mailing address
5623 N 11TH ST, PHILADELPHIA, PA 19141-3607
(267) 303-3058

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
05/17/2013
Last updated
05/17/2013
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