Provider Demographics
NPI:1518602580
Name:JOYEUX AGENCY
Entity Type:Organization
Organization Name:JOYEUX AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:CARTER
Authorized Official - Last Name:IMAKPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-473-4718
Mailing Address - Street 1:3540 E BROAD ST # 120205
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5633
Mailing Address - Country:US
Mailing Address - Phone:469-688-9972
Mailing Address - Fax:
Practice Address - Street 1:1425 N DALLAS AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-3267
Practice Address - Country:US
Practice Address - Phone:469-688-9972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health