Provider Demographics
NPI:1114325412
Name:JOHN LAYLOR JOYCE, INC
Entity Type:Organization
Organization Name:JOHN LAYLOR JOYCE, INC
Other - Org Name:KEYSTONE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-325-2787
Mailing Address - Street 1:422 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:JIM THORPE
Mailing Address - State:PA
Mailing Address - Zip Code:18229-1406
Mailing Address - Country:US
Mailing Address - Phone:570-325-2787
Mailing Address - Fax:570-325-8795
Practice Address - Street 1:203 CLAREMONT AVE
Practice Address - Street 2:
Practice Address - City:TAMAQUA
Practice Address - State:PA
Practice Address - Zip Code:18252-4459
Practice Address - Country:US
Practice Address - Phone:570-668-2468
Practice Address - Fax:570-668-4150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA86381777332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies