Provider Demographics
NPI:1295131845
Name:JUST LIKE FAMILY HOME SERVICES, LLC
Entity type:Organization
Organization Name:JUST LIKE FAMILY HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR,CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:MOORE
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-488-4120
Mailing Address - Street 1:7110 WHIPPLE AVE NW
Mailing Address - Street 2:SUITE 102D
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7154
Mailing Address - Country:US
Mailing Address - Phone:330-526-8619
Mailing Address - Fax:
Practice Address - Street 1:7110 WHIPPLE AVE NW
Practice Address - Street 2:SUITE 102D
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7154
Practice Address - Country:US
Practice Address - Phone:330-526-8619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
7607183251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0054570Medicaid