Healthcare Provider Details
I. General information
NPI: 1407324874
Provider Name (Legal Business Name): JOYFUL DAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/05/2018
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
308 PINE ST STE B
MINDEN LA
71055-3101
US
IV. Provider business mailing address
308 PINE ST STE B
MINDEN LA
71055-3101
US
V. Phone/Fax
- Phone:
- Fax:
- Phone: 318-639-5009
- Fax: 318-639-5177
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARLOTTE
BOSTON
SCOTT
Title or Position: DIRECTOR
Credential:
Phone: 318-505-5160