Provider Demographics
NPI:1629836390
Name:JOYFUL JOURNEYS LLC
Entity Type:Organization
Organization Name:JOYFUL JOURNEYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADDERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-603-6048
Mailing Address - Street 1:5106 WATERLICK RD
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-3941
Mailing Address - Country:US
Mailing Address - Phone:484-603-6048
Mailing Address - Fax:434-849-8831
Practice Address - Street 1:5106 WATERLICK RD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-3941
Practice Address - Country:US
Practice Address - Phone:484-603-6048
Practice Address - Fax:434-849-8831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)