Provider Demographics
NPI:1194509869
Name:REJOYCE HEALTH CARE LLC
Entity type:Organization
Organization Name:REJOYCE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REJOYCE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:TARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-568-5207
Mailing Address - Street 1:11361 SWALLOW CIR NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-3638
Mailing Address - Country:US
Mailing Address - Phone:763-568-5207
Mailing Address - Fax:763-226-2397
Practice Address - Street 1:11361 SWALLOW CIR NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-3638
Practice Address - Country:US
Practice Address - Phone:763-568-5207
Practice Address - Fax:763-226-2397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN310400000XOtherHEALTH CARE