Provider Demographics
NPI:1841982782
Name:ITZSEBBYYY LLC
Entity type:Organization
Organization Name:ITZSEBBYYY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:KAILAND
Authorized Official - Middle Name:IVORY
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-561-9800
Mailing Address - Street 1:1301 CAROLINA AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-1138
Mailing Address - Country:US
Mailing Address - Phone:323-561-9800
Mailing Address - Fax:
Practice Address - Street 1:1301 CAROLINA AVE APT 3
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-1138
Practice Address - Country:US
Practice Address - Phone:323-561-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies