Healthcare Provider Details

I. General information

NPI: 1982914982
Provider Name (Legal Business Name): JOY MEDICAL SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2010
Last Update Date: 02/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 N BURNSIDE AVE
GONZALES LA
70737
US

IV. Provider business mailing address

306 N BURNSIDE AVE
GONZALES LA
70737
US

V. Phone/Fax

Practice location:
  • Phone: 225-644-2910
  • Fax: 225-644-0247
Mailing address:
  • Phone: 225-644-2910
  • Fax: 225-644-0247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number04225
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. THUAN TOMMY NGUYEN
Title or Position: CEO CHEIF EXECUTIVE OFFICER
Credential:
Phone: 225-644-2910