Provider Demographics
NPI:1962982090
Name:JOYFUL CARE, LLC
Entity type:Organization
Organization Name:JOYFUL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BS
Authorized Official - Phone:904-233-9221
Mailing Address - Street 1:6500 LAKE GRAY BLVD APT 322
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-7553
Mailing Address - Country:US
Mailing Address - Phone:904-233-9221
Mailing Address - Fax:
Practice Address - Street 1:6500 LAKE GRAY BLVD APT 322
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-7553
Practice Address - Country:US
Practice Address - Phone:904-233-9221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities