Organization
FOREVER YOUNG SENIOR CARE CENTER
Active
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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