Provider Demographics
NPI:1013382811
Name:JOY AND DEVOTION FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:JOY AND DEVOTION FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWA, LCASA
Authorized Official - Phone:919-247-5319
Mailing Address - Street 1:5616 OLD GARDEN RD APT 101
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4435
Mailing Address - Country:US
Mailing Address - Phone:919-247-5319
Mailing Address - Fax:
Practice Address - Street 1:5616 OLD GARDEN RD APT 101
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4435
Practice Address - Country:US
Practice Address - Phone:919-247-5319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL0430233104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness