Healthcare Provider Details

I. General information

NPI: 1386244507
Provider Name (Legal Business Name): JOYCE PERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2917 DOVER RD
COLUMBUS OH
43209-3023
US

IV. Provider business mailing address

2917 DOVER RD
COLUMBUS OH
43209-3023
US

V. Phone/Fax

Practice location:
  • Phone: 614-588-6163
  • Fax:
Mailing address:
  • Phone: 614-239-5727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: