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General NPI Number Information
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NPI Number | 1063752541
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Entity Type | Organization
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Legal Business Name | JOYCE ADULT FAMILY CARE HOME
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Dates
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Enumeration Date | 02/21/2013
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 4116 LATONA AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33407
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Country | US
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Telephone | 561-844-0693
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Fax |
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Provider Business Mailing Address
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Address Line | 4116 LATONA AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3524
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Country | US
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Telephone | 561-844-0693
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOYCE MCCALLA
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Credential |
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Telephone | 561-844-0693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 6905375
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License Number State | FL
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