Healthcare Provider Details

I. General information

NPI: 1790776177
Provider Name (Legal Business Name): JOYFUL ADULT DAY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18951 COLIMA RD
ROWLAND HEIGHTS CA
91748-2981
US

IV. Provider business mailing address

18951 COLIMA RD
ROWLAND HEIGHTS CA
91748-2981
US

V. Phone/Fax

Practice location:
  • Phone: 626-333-2222
  • Fax: 626-369-8926
Mailing address:
  • Phone: 626-333-2222
  • Fax: 626-369-8926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. MARY SHIH
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 626-333-2222