Provider Demographics
NPI:1699491977
Name:VALLEY OF JOY GROUP HOME LLC
Entity type:Organization
Organization Name:VALLEY OF JOY GROUP HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MWAURA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-991-5915
Mailing Address - Street 1:1787 S FOLLETT WAY
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-0272
Mailing Address - Country:US
Mailing Address - Phone:214-991-5915
Mailing Address - Fax:
Practice Address - Street 1:1787 S FOLLETT WAY
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-0272
Practice Address - Country:US
Practice Address - Phone:214-991-5915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care