MEDICARE: CHERYL LYNN JOYCE

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	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1124537154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL LYNN JOYCE

Provider Business Mailing Address
First Line	:	7441 TWIN LAKES RD
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-4586
Country	:	US
Telephone Number	:	419-350-6724
Fax Number	:

Provider Business Practice Location Address
First Line	:	11933 BEARD RD
Second Line	:
City	:	NEW SPRINGFIELD
State	:	OH
Zip	:	44443-9723
Country	:	US
Telephone Number	:	419-350-6724
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2017
Last Update Date	:	09/21/2017

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