Provider Demographics
NPI:1619582442
Name:JOYFUL PSALM INC
Entity Type:Organization
Organization Name:JOYFUL PSALM INC
Other - Org Name:JOYFUL PSALM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOREMEKUN-JOLLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-553-3208
Mailing Address - Street 1:1354 RAVENWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-3472
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1354 RAVENWOOD CT
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-3472
Practice Address - Country:US
Practice Address - Phone:682-553-3208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOYFUL PSALM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-09
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care