Provider Demographics
NPI:1629415989
Name:MARYJOY HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:MARYJOY HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/SUPERVISING NURSE
Authorized Official - Prefix:
Authorized Official - First Name:MARYJOY
Authorized Official - Middle Name:IJEOMA
Authorized Official - Last Name:OKWESILI
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:832-541-3388
Mailing Address - Street 1:8206 LONGVALE DR
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5081
Mailing Address - Country:US
Mailing Address - Phone:832-541-3388
Mailing Address - Fax:
Practice Address - Street 1:8206 LONGVALE DR
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77469-5081
Practice Address - Country:US
Practice Address - Phone:832-541-3388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX758783251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health