FOUNTAIN OF YOUTH, LLC is a clinic center in Terre Haute, IN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FOUNTAIN OF YOUTH, LLC NPI is 1316205115. The provider is registered as an organization entity type.
The provider Is Doing Business As Seelyville Family Practice.
The provider's business location address is:
8810 WABASH AVE
TERRE HAUTE, IN
ZIP 47803-908
Phone: (812) 239-4090
The provider's authorized official is Sherri Jernberg .
The authorized official title is Owner/operator and has the following contact phone number (812) 239-4090.
The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.