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General NPI Number Information
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NPI Number | 1013424639
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Entity Type | Organization
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Legal Business Name | JOY HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 1600 HERITAGE LNDG STE 202A
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City | SAINT PETERS
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State | MO
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Zip | 63303-8488
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Country | US
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Telephone | 636-685-0134
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 HERITAGE LNDG STE 212C
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City | SAINT PETERS
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State | MO
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Zip | 63303-8491
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Country | US
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Telephone | 636-685-0134
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Fax | 636-685-0128
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOY K BLAIR
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Credential |
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Telephone | 636-685-0134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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