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General NPI Number Information
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NPI Number | 1912879164
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Entity Type | Organization
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Legal Business Name | JOYOUS LIVING ISL LLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3744 BENTON BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64128-2515
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Country | US
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Telephone | 913-961-6623
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Fax | 913-789-9785
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Provider Business Mailing Address
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Address Line | 3744 BENTON BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64128-2515
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Country | US
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Telephone | 913-961-6623
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Fax | 913-789-9785
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Authorized Official
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Title or Position | OWNER
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Name | JOYCE BUTLER
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Credential |
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Telephone | 913-961-6623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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