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General NPI Number Information
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NPI Number | 1265695720
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Entity Type | Organization
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Legal Business Name | JOYFUL HEALTHCARE INC.
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Dates
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Enumeration Date | 07/04/2008
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 6495 NEW HAMPSHIRE AVE SUITE 203
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City | HYATTSVILLE
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State | MD
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Zip | 20783-3245
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Country | US
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Telephone | 301-273-3367
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Fax | 301-273-3368
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Provider Business Mailing Address
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Address Line | 6495 NEW HAMPSHIRE AVE SUITE 203
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City | HYATTSVILLE
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State | MD
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Zip | 20783-3245
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Country | US
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Telephone | 301-273-3367
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Fax | 301-273-3368
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Authorized Official
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Title or Position | CEO
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Name | MR. AMOS AMUH MUBANG
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Credential |
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Telephone | 301-273-3367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | DCJM-2008-HC-0001-24
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License Number State | DC
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