MEDICARE: JOY OF LIVING CARE SERVICES,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL10294	FL

General Provider Information

NPI Number	:	1851561229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY OF LIVING CARE SERVICES,INC

Provider Business Mailing Address
First Line	:	5710 COCONUT RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-1829
Country	:	US
Telephone Number	:	561-478-0523
Fax Number	:	561-478-0523

Provider Business Practice Location Address
First Line	:	5710 COCONUT RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-1829
Country	:	US
Telephone Number	:	561-478-0523
Fax Number	:	561-478-0523

Authorized Official
Title or Position	:	OWNER/ADMINITRATOR
Name	:	IRIS A DOUGLAS
Credential	:
Telephone Number	:	561-478-0523

Provider Enumeration Date	:	03/02/2008
Last Update Date	:	03/02/2008

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