MEDICARE: VALLEY OF JOY HOMECARE, LLC.

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	251E00000X	Home Health Agency	32603601	PA

General Provider Information

NPI Number	:	1346751138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY OF JOY HOMECARE, LLC.

Provider Business Mailing Address
First Line	:	1273 FOREST RD
Second Line	:
City	:	WHITEHALL
State	:	PA
Zip	:	18052-6217
Country	:	US
Telephone Number	:	484-951-8524
Fax Number	:

Provider Business Practice Location Address
First Line	:	1273 FOREST RD
Second Line	:
City	:	WHITEHALL
State	:	PA
Zip	:	18052-6217
Country	:	US
Telephone Number	:	484-951-8524
Fax Number	:	484-951-8524

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	FUNMILAYO OGUNSEMORE
Credential	:
Telephone Number	:	484-951-8524

Provider Enumeration Date	:	10/19/2017
Last Update Date	:	10/19/2017

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