Healthcare Provider Details

I. General information

NPI: 1770373250
Provider Name (Legal Business Name): JOYCE ANIM BOATENG RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOYCE ALORSOR

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6411 TRIPLE CROWN LN
TOLEDO OH
43615-2443
US

IV. Provider business mailing address

6411 TRIPLE CROWN LN
TOLEDO OH
43615-2443
US

V. Phone/Fax

Practice location:
  • Phone: 347-499-7790
  • Fax:
Mailing address:
  • Phone: 347-499-7790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number52840
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number52840
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number52840
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: