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General NPI Number Information
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NPI Number | 1669832127
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Entity Type | Organization
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Legal Business Name | JOYFUL MEMORIES HOME HEALTH CARE
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 8143 SYLVAN SCENE DR.
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City | BIRDSNEST
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State | VA
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Zip | 23307
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Country | US
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Telephone | 757-709-3436
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Fax | 757-678-5080
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Provider Business Mailing Address
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Address Line | PO BOX 704
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City | NASSAWADOX
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State | VA
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Zip | 23413-0704
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Country | US
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Telephone | 757-709-3436
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JOYCELYN NICOLE BAILEY
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Credential |
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Telephone | 757-709-3436
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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 |
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License Number State |
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