Basic Information
| Provider Information | |||||||||
| NPI: | 1235509662 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOYFUL HEALTHCARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6133 AVALON DR | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018871165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6174591144 | ||||||||
| FaxNumber: | 9782672095 | ||||||||
| Practice Location | |||||||||
| Address1: | 6133 AVALON DR | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018871165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6174591144 | ||||||||
| FaxNumber: | 9782672095 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2015 | ||||||||
| LastUpdateDate: | 09/28/2015 | ||||||||
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| AuthorizedOfficialLastName: | EDOBOR-OVABOR | ||||||||
| AuthorizedOfficialFirstName: | JOY | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 6174591144 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | A.S | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 016845360A | MA | Y | Agencies | Home Health |
No ID Information.