Provider Demographics
NPI:1922261031
Name:JOYOUS ASSISTED LIVING
Entity Type:Organization
Organization Name:JOYOUS ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CADDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-552-5064
Mailing Address - Street 1:18231 RAMSGATE DR
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-4569
Mailing Address - Country:US
Mailing Address - Phone:248-552-5064
Mailing Address - Fax:
Practice Address - Street 1:18231 RAMSGATE DR
Practice Address - Street 2:
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-4569
Practice Address - Country:US
Practice Address - Phone:248-552-5064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility