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General NPI Number Information
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NPI Number | 1407353840
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Entity Type | Organization
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Legal Business Name | JOYFUL HOME CORPORATION
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 25002 HENDON ST
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-4629
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Country | US
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Telephone | 949-588-0830
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Fax |
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Provider Business Mailing Address
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Address Line | 5 SEVEN KINGS PL
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City | ALISO VIEJO
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State | CA
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Zip | 92656-6232
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Country | US
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Telephone | 949-279-1700
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Fax | 949-916-4720
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMMANUEL DIZON
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Credential |
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Telephone | 949-279-1700
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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 | 306003478
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number | 306003396
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License Number State | CA
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