Provider Demographics
NPI:1558868513
Name:A HOME JUST FOR YOU, INC
Entity Type:Organization
Organization Name:A HOME JUST FOR YOU, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CORNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-356-5699
Mailing Address - Street 1:7138 GLENDORA ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-2740
Mailing Address - Country:US
Mailing Address - Phone:850-356-5699
Mailing Address - Fax:850-912-4419
Practice Address - Street 1:7138 GLENDORA ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32526-2740
Practice Address - Country:US
Practice Address - Phone:850-356-5699
Practice Address - Fax:850-912-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6906939261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care