=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346432119
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASSISTANCE JUST FOR YOU, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2007
-----------------------------------------------------
Last Update Date | 06/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1665 SW RAILROAD AVE SUITE 6
-----------------------------------------------------
City | HAMMOND
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70403-6133
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-350-1446
-----------------------------------------------------
Fax | 985-350-1453
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2907
-----------------------------------------------------
City | HAMMOND
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70404-2907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-350-1446
-----------------------------------------------------
Fax | 985-350-1453
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FISCAL DIRECTOR
-----------------------------------------------------
Name | SONJIA MCVAY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 985-350-1446
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number | 6652
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------