MEDICARE: YES-U-CAN, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1659412542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YES-U-CAN, INC

Provider Business Mailing Address
First Line	:	777 CLEVELAND AVE SW
Second Line	:	SUITE 605
City	:	ATLANTA
State	:	GA
Zip	:	30315-7129
Country	:	US
Telephone Number	:	404-564-9831
Fax Number	:	404-564-9837

Provider Business Practice Location Address
First Line	:	5680 FULTON INDUSTRIAL BLVD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30336-2659
Country	:	US
Telephone Number	:	404-564-9831
Fax Number	:	404-564-9837

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MRS. ANDREA PRICE
Credential	:
Telephone Number	:	404-564-9831

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	02/17/2012

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Directions to “YES-U-CAN, INC ” Practice Location

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