Provider Demographics
NPI:1205225398
Name:YOUR HEALTH GROUP LLC
Entity Type:Organization
Organization Name:YOUR HEALTH GROUP LLC
Other - Org Name:YOUR HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-273-2284
Mailing Address - Street 1:4751 LAKEVIEW DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2064
Mailing Address - Country:US
Mailing Address - Phone:863-273-2284
Mailing Address - Fax:863-402-5602
Practice Address - Street 1:4751 LAKEVIEW DR
Practice Address - Street 2:SUITE A
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2064
Practice Address - Country:US
Practice Address - Phone:863-273-2284
Practice Address - Fax:863-402-5602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health