Provider Demographics
NPI:1346064938
Name:JOYFUL LIVING HOMECARE AGENCY LLC
Entity type:Organization
Organization Name:JOYFUL LIVING HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-769-8282
Mailing Address - Street 1:4623 ASHBROOK RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-2908
Mailing Address - Country:US
Mailing Address - Phone:469-769-8282
Mailing Address - Fax:214-377-8999
Practice Address - Street 1:4623 ASHBROOK RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-2908
Practice Address - Country:US
Practice Address - Phone:469-769-8282
Practice Address - Fax:214-377-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health