Provider Demographics
NPI:1598271751
Name:LOVE, JOY
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:
Last Name:LOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:OBIAGELI
Other - Middle Name:CHINENYE
Other - Last Name:OKONKWO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8302 ALISO CANYON LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5087
Mailing Address - Country:US
Mailing Address - Phone:832-488-7806
Mailing Address - Fax:
Practice Address - Street 1:8302 ALISO CANYON LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5087
Practice Address - Country:US
Practice Address - Phone:832-488-7806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-22
Last Update Date:2017-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23321347251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health