Healthcare Provider Details

I. General information

NPI: 1487888954
Provider Name (Legal Business Name): JOY HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 05/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4482 E. COUNTY DOWN DR
CHANDLER AZ
85249-7334
US

IV. Provider business mailing address

4482 E. COUNTY DOWN
CHANDLER AZ
85249-7334
US

V. Phone/Fax

Practice location:
  • Phone: 480-354-1603
  • Fax: 480-354-1604
Mailing address:
  • Phone: 480-354-1603
  • Fax: 480-354-1604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License NumberBH3076
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. KALU U. ELEANYA
Title or Position: C. E. O.
Credential:
Phone: 480-354-1603