Provider Demographics
NPI:1922418383
Name:JOYOUS CARE & FAMILY PRESERVATION SERVICES, INC
Entity Type:Organization
Organization Name:JOYOUS CARE & FAMILY PRESERVATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:OLUJOKE
Authorized Official - Last Name:MAFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-315-5912
Mailing Address - Street 1:8525 EDINBROOK XING
Mailing Address - Street 2:SUITE 107C
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1900
Mailing Address - Country:US
Mailing Address - Phone:763-315-5912
Mailing Address - Fax:763-315-5916
Practice Address - Street 1:8525 EDINBROOK XING
Practice Address - Street 2:SUITE 107C
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-1900
Practice Address - Country:US
Practice Address - Phone:763-315-5912
Practice Address - Fax:763-315-5916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR159343-5163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty