Provider Demographics
NPI:1932704012
Name:REJOICE HEALTH CO.
Entity Type:Organization
Organization Name:REJOICE HEALTH CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SYSTEM INFORMATION ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:SIDDHARTHA
Authorized Official - Middle Name:AJAY
Authorized Official - Last Name:VALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-558-0551
Mailing Address - Street 1:21576 IREDELL TER
Mailing Address - Street 2:
Mailing Address - City:BROADLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:20148-5033
Mailing Address - Country:US
Mailing Address - Phone:646-954-8230
Mailing Address - Fax:
Practice Address - Street 1:21576 IREDELL TER
Practice Address - Street 2:
Practice Address - City:BROADLANDS
Practice Address - State:VA
Practice Address - Zip Code:20148-5033
Practice Address - Country:US
Practice Address - Phone:646-954-8230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REJOICE HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health