Provider Demographics
NPI:1114152691
Name:JOYFUL LIVING HOME HEALTH CARE
Entity Type:Organization
Organization Name:JOYFUL LIVING HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANITA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BREEDLOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-675-0480
Mailing Address - Street 1:719 CORMORANT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-1329
Mailing Address - Country:US
Mailing Address - Phone:210-675-0480
Mailing Address - Fax:210-675-0480
Practice Address - Street 1:719 CORMORANT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-1329
Practice Address - Country:US
Practice Address - Phone:210-675-0480
Practice Address - Fax:210-675-0480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health