Provider Demographics
NPI:1194411728
Name:YOOOOOO LYFE LLC
Entity type:Organization
Organization Name:YOOOOOO LYFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:N
Authorized Official - Last Name:TALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:HOME HEALTH CERT
Authorized Official - Phone:276-340-4192
Mailing Address - Street 1:1404 SOAPSTONE RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWAY
Mailing Address - State:VA
Mailing Address - Zip Code:24148-3909
Mailing Address - Country:US
Mailing Address - Phone:276-340-4192
Mailing Address - Fax:
Practice Address - Street 1:1404 SOAPSTONE RD
Practice Address - Street 2:
Practice Address - City:RIDGEWAY
Practice Address - State:VA
Practice Address - Zip Code:24148-3909
Practice Address - Country:US
Practice Address - Phone:276-340-4192
Practice Address - Fax:276-292-2908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty