Provider Demographics
NPI:1487832788
Name:4 YOUR CARE
Entity Type:Organization
Organization Name:4 YOUR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:YOUKERS
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:814-392-5389
Mailing Address - Street 1:2727 CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-1206
Mailing Address - Country:US
Mailing Address - Phone:814-392-5389
Mailing Address - Fax:
Practice Address - Street 1:2727 CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1206
Practice Address - Country:US
Practice Address - Phone:814-392-5389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health