Provider Demographics
NPI:1639419070
Name:MOREJOYTHERAPY SERVICES,LLC
Entity Type:Organization
Organization Name:MOREJOYTHERAPY SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORELAND
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:903-690-1486
Mailing Address - Street 1:PO BOX 3581
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75606-3581
Mailing Address - Country:US
Mailing Address - Phone:903-331-6001
Mailing Address - Fax:903-663-5580
Practice Address - Street 1:501 N SPUR 63
Practice Address - Street 2:SUITE B-3
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5013
Practice Address - Country:US
Practice Address - Phone:903-690-1486
Practice Address - Fax:903-663-5580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210352261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation