MEDICARE: YES I CAN SERVICES LLC

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	385HR2055X	Child Mental Illness Respite Care

General Provider Information

NPI Number	:	1285203059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YES I CAN SERVICES LLC

Provider Business Mailing Address
First Line	:	1252 HICKORY ST
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1368
Country	:	US
Telephone Number	:	718-370-3033
Fax Number	:

Provider Business Practice Location Address
First Line	:	1252 HICKORY ST
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1368
Country	:	US
Telephone Number	:	718-370-3033
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SIMCHA FELLER
Credential	:
Telephone Number	:	718-370-3033

Provider Enumeration Date	:	06/24/2021
Last Update Date	:	06/24/2021

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Directions to “YES I CAN SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

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