MEDICARE: JOY MOBILITY & MEDICAL SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	2000126424	NV

General Provider Information

NPI Number	:	1033278445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY MOBILITY & MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	3280 E. TROPICANA AVENUE
Second Line	:	SUITE D
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7344
Country	:	US
Telephone Number	:	702-434-2458
Fax Number	:	702-434-7072

Provider Business Practice Location Address
First Line	:	3280 E. TROPICANA AVENUE
Second Line	:	SUITE D
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7344
Country	:	US
Telephone Number	:	702-434-2458
Fax Number	:	702-434-7072

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. ISADORA DEGUZMAN TAGUD
Credential	:
Telephone Number	:	702-434-2458

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	08/18/2008

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