Healthcare Provider Details

I. General information

NPI: 1699491977
Provider Name (Legal Business Name): VALLEY OF JOY GROUP HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1787 S FOLLETT WAY
GILBERT AZ
85295-0272
US

IV. Provider business mailing address

1787 S FOLLETT WAY
GILBERT AZ
85295-0272
US

V. Phone/Fax

Practice location:
  • Phone: 214-991-5915
  • Fax:
Mailing address:
  • Phone: 214-991-5915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ESTHER MWAURA
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 214-991-5915