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General NPI Number Information
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NPI Number | 1255458063
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Entity Type | Organization
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Legal Business Name | JOYFUL HOME FAMILY CARE
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 113 BEACON HL
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City | ELLENBORO
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State | NC
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Zip | 28040-7645
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Country | US
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Telephone | 828-453-0608
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 488
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City | ELLENBORO
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State | NC
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Zip | 28040-0488
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Country | US
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Telephone | 828-453-0608
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Fax |
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR
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Name | JOY COOPER WILLIAMS
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Credential |
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Telephone | 828-453-0608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | FCL-081-032
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License Number State | NC
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