Healthcare Provider Details

I. General information

NPI: 1508720806
Provider Name (Legal Business Name): JOYFUL LIFE CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3295 RIVER EXCHANGE DR STE 562
PEACHTREE CORNERS GA
30092-4573
US

IV. Provider business mailing address

3295 RIVER EXCHANGE DR STE 562
PEACHTREE CORNERS GA
30092-4573
US

V. Phone/Fax

Practice location:
  • Phone: 888-725-6938
  • Fax:
Mailing address:
  • Phone: 888-725-6938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOYCE ETTANG
Title or Position: PRESIDENT
Credential:
Phone: 678-713-6515