Provider Demographics
NPI:1710170881
Name:REJOICE INC.
Entity Type:Organization
Organization Name:REJOICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-221-0722
Mailing Address - Street 1:1800 STATE ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17103-1551
Mailing Address - Country:US
Mailing Address - Phone:717-221-0722
Mailing Address - Fax:717-221-0843
Practice Address - Street 1:1800 STATE ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17103-1551
Practice Address - Country:US
Practice Address - Phone:717-221-0722
Practice Address - Fax:717-221-0843
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REJOICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH0045Medicaid