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General NPI Number Information
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NPI Number | 1164566733
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Entity Type | Organization
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Legal Business Name | JOYLAND HOMES, INC.
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15 HOWLETT PL
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City | DURHAM
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State | NC
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Zip | 27703-3365
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Country | US
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Telephone | 919-381-9761
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Fax |
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Provider Business Mailing Address
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Address Line | 15 HOWLETT PL
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City | DURHAM
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State | NC
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Zip | 27703-3365
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Country | US
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Telephone | 919-381-9761
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. FREDERICK LEON DUNSTON JR.
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Credential |
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Telephone | 919-602-3455
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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 | MHL-032-343
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License Number State | NC
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