Healthcare Provider Details

I. General information

NPI: 1043498165
Provider Name (Legal Business Name): JUST-US SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3725 WILTS ST
ORLANDO FL
32805-4233
US

IV. Provider business mailing address

3725 WILTS ST
ORLANDO FL
32805-4233
US

V. Phone/Fax

Practice location:
  • Phone: 407-294-4902
  • Fax: 407-294-4902
Mailing address:
  • Phone: 407-294-4902
  • Fax: 407-294-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MS. CAMALA CHARMAIN BOUEY
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 407-294-4902