MEDICARE: ASSISTANCE JUST FOR YOU, 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	251C00000X	Developmentally Disabled Services Day Training Agency	6652	LA

General Provider Information

NPI Number	:	1346432119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSISTANCE JUST FOR YOU, LLC

Provider Business Mailing Address
First Line	:	PO BOX 2907
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70404-2907
Country	:	US
Telephone Number	:	985-350-1446
Fax Number	:	985-350-1453

Provider Business Practice Location Address
First Line	:	1665 SW RAILROAD AVE
Second Line	:	SUITE 6
City	:	HAMMOND
State	:	LA
Zip	:	70403-6133
Country	:	US
Telephone Number	:	985-350-1446
Fax Number	:	985-350-1453

Authorized Official
Title or Position	:	FISCAL DIRECTOR
Name	:	SONJIA MCVAY
Credential	:
Telephone Number	:	985-350-1446

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	06/16/2008

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