Healthcare Provider Details

I. General information

NPI: 1124855614
Provider Name (Legal Business Name): JUST FOR YOU PERSONAL CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 09/18/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5684 T.A. BRYANT WAY
LITHONIA GA
30038
US

IV. Provider business mailing address

1000 PEACHTREE ST NE STE 200
ATLANTA GA
30309-3904
US

V. Phone/Fax

Practice location:
  • Phone: 850-712-3391
  • Fax:
Mailing address:
  • Phone: 470-485-4965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ALECEA THOMPSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 470-485-4965