Provider Demographics
NPI:1689370876
Name:EJYS HOMES FOR YOU LLC.
Entity Type:Organization
Organization Name:EJYS HOMES FOR YOU LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:DAVIDSON
Authorized Official - Last Name:YARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:205-545-6290
Mailing Address - Street 1:7616 AZALEA CIR
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-1757
Mailing Address - Country:US
Mailing Address - Phone:205-545-6290
Mailing Address - Fax:
Practice Address - Street 1:7616 AZALEA CIR
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-1757
Practice Address - Country:US
Practice Address - Phone:205-545-6290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health