Provider Demographics
NPI:1073175006
Name:TD JOYFUL CARE LLP
Entity Type:Organization
Organization Name:TD JOYFUL CARE LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- CEO
Authorized Official - Prefix:
Authorized Official - First Name:TWANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-668-1044
Mailing Address - Street 1:3086 STATE ROUTE 27 STE 2
Mailing Address - Street 2:
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-1658
Mailing Address - Country:US
Mailing Address - Phone:732-668-1044
Mailing Address - Fax:
Practice Address - Street 1:3086 STATE ROUTE 27 STE 2
Practice Address - Street 2:
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1658
Practice Address - Country:US
Practice Address - Phone:732-668-1044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-29
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty