MEDICARE: A-U-2DAYS-YOUR-DAY 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1295209724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-U-2DAYS-YOUR-DAY LLC

Provider Business Mailing Address
First Line	:	6428 SIERRA DIABLO AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-1870
Country	:	US
Telephone Number	:	616-881-7968
Fax Number	:

Provider Business Practice Location Address
First Line	:	6428 SIERRA DIABLO AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-1870
Country	:	US
Telephone Number	:	616-881-7968
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. TINA DAY
Credential	:	BA-PSYCHOLOGY
Telephone Number	:	616-881-7968

Provider Enumeration Date	:	01/17/2019
Last Update Date	:	01/17/2019

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Directions to “A-U-2DAYS-YOUR-DAY LLC ” Practice Location

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