Provider Demographics
NPI:1073203824
Name:AYO HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:AYO HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRISKELL BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-284-2833
Mailing Address - Street 1:PO BOX 567
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-0567
Mailing Address - Country:US
Mailing Address - Phone:678-284-2833
Mailing Address - Fax:
Practice Address - Street 1:264 VILLA GRANDE DR
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-7110
Practice Address - Country:US
Practice Address - Phone:678-284-2833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care