MEDICARE: CARE4YOU2 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1992045181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE4YOU2 LLC

Provider Business Mailing Address
First Line	:	5650 W CENTRAL AVE
Second Line	:	SUITE B
City	:	TOLEDO
State	:	OH
Zip	:	43615-1519
Country	:	US
Telephone Number	:	419-517-7300
Fax Number	:	419-517-7302

Provider Business Practice Location Address
First Line	:	5650 W CENTRAL AVE
Second Line	:	SUITE B
City	:	TOLEDO
State	:	OH
Zip	:	43615-1519
Country	:	US
Telephone Number	:	419-517-7300
Fax Number	:	419-517-7302

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DIANE YATES
Credential	:	LISW-S
Telephone Number	:	419-517-7300

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	02/25/2013

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