Provider Demographics
NPI:1457472698
Name:JUST FOR YOU PERSONAL SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:JUST FOR YOU PERSONAL SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-392-9382
Mailing Address - Street 1:PO BOX 117716
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-7716
Mailing Address - Country:US
Mailing Address - Phone:704-210-1917
Mailing Address - Fax:770-991-9491
Practice Address - Street 1:3459 HOLCOMB BRIDGE RD STE 100
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-3534
Practice Address - Country:US
Practice Address - Phone:770-853-4595
Practice Address - Fax:770-992-6769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA056-R-0001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000792041AMedicaid
GA000261266BMedicaid
GA000702831AMedicaid