Provider Demographics
NPI:1457959314
Name:JUST LIKE HOME SEYMOUR, LLC
Entity Type:Organization
Organization Name:JUST LIKE HOME SEYMOUR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:RT ( R)
Authorized Official - Phone:940-631-9142
Mailing Address - Street 1:101 HILL DR
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TX
Mailing Address - Zip Code:76380-2325
Mailing Address - Country:US
Mailing Address - Phone:940-631-9142
Mailing Address - Fax:940-889-3551
Practice Address - Street 1:1137 W CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TX
Practice Address - Zip Code:76380-1552
Practice Address - Country:US
Practice Address - Phone:940-889-3551
Practice Address - Fax:940-889-3551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility