Provider Demographics
NPI:1003640848
Name:ALL ABOUT YOU SERVICES L.L.C.
Entity type:Organization
Organization Name:ALL ABOUT YOU SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANN-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-206-0752
Mailing Address - Street 1:201 SW PORT ST LUCIE BLVD STE 9
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-5001
Mailing Address - Country:US
Mailing Address - Phone:772-206-0752
Mailing Address - Fax:
Practice Address - Street 1:201 SW PORT ST LUCIE BLVD STE 9
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-5001
Practice Address - Country:US
Practice Address - Phone:772-206-0752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108332400Medicaid