Provider Demographics
NPI:1376309724
Name:EXCLUSIVELY FOR YOU HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:EXCLUSIVELY FOR YOU HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIAMOYA
Authorized Official - Middle Name:DESHANNA
Authorized Official - Last Name:MERRIWEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-779-4192
Mailing Address - Street 1:115 COLSER DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-0985
Mailing Address - Country:US
Mailing Address - Phone:678-779-4195
Mailing Address - Fax:678-609-9655
Practice Address - Street 1:115 COLSER DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-0985
Practice Address - Country:US
Practice Address - Phone:470-861-9135
Practice Address - Fax:678-609-9655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health