Provider Demographics
NPI:1427670215
Name:YEBO THERAPY LLC
Entity type:Organization
Organization Name:YEBO THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HERMIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:678-823-0324
Mailing Address - Street 1:4687 AMBERWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6305
Mailing Address - Country:US
Mailing Address - Phone:678-823-0324
Mailing Address - Fax:404-689-0850
Practice Address - Street 1:4687 AMBERWOOD TRL
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6305
Practice Address - Country:US
Practice Address - Phone:678-823-0324
Practice Address - Fax:404-689-0850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health