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Contact Information

FOUNTAIN OF YOUTH ACUPUNCTURE LLC
1474 SC-160
SUITE 103
FORT MILL, SC29715
 Phone: 201-741-6802
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for FOUNTAIN OF YOUTH ACUPUNCTURE LLC

NPI # 1932820925
LBN Legal business name FOUNTAIN OF YOUTH ACUPUNCTURE LLC
Authorized official MICHELINA KRAUS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2022
Last updated 09/07/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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