Provider Demographics
NPI:1902619489
Name:HUSTON, JOYCE
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:HUSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87277 483RD AVE
Mailing Address - Street 2:
Mailing Address - City:EMMET
Mailing Address - State:NE
Mailing Address - Zip Code:68734-3803
Mailing Address - Country:US
Mailing Address - Phone:308-548-8044
Mailing Address - Fax:
Practice Address - Street 1:87277 483RD AVE
Practice Address - Street 2:
Practice Address - City:EMMET
Practice Address - State:NE
Practice Address - Zip Code:68734-3803
Practice Address - Country:US
Practice Address - Phone:308-548-8044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals