Provider Demographics
NPI:1154728384
Name:JUST BREATHE SERVICES, LLC
Entity type:Organization
Organization Name:JUST BREATHE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD LICE SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-614-4917
Mailing Address - Street 1:6 NORTHRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-7003
Mailing Address - Country:US
Mailing Address - Phone:414-614-4917
Mailing Address - Fax:
Practice Address - Street 1:6 NORTHRIDGE RD
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-7003
Practice Address - Country:US
Practice Address - Phone:414-614-4917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty