Healthcare Provider Details
I. General information
NPI: 1386112753
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: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
404 FINCHER RD
MINDEN LA
71055-3533
US
IV. Provider business mailing address
404 FINCHER RD
MINDEN LA
71055-3533
US
V. Phone/Fax
- Phone: 318-639-5009
- Fax: 318-639-5117
- Phone: 318-639-5009
- Fax: 318-639-5117
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
CHARLOTTE
BOSTON
SCOTT
Title or Position: DIRECTOR
Credential:
Phone: 318-505-5160