Provider Demographics
NPI:1952644916
Name:JOYCE WILLIAMS
Entity Type:Organization
Organization Name:JOYCE WILLIAMS
Other - Org Name:LIVING WITH JOY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-574-5717
Mailing Address - Street 1:3968 JUPITER BLVD SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-3861
Mailing Address - Country:US
Mailing Address - Phone:321-574-5717
Mailing Address - Fax:321-574-5717
Practice Address - Street 1:3968 JUPITER BLVD SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-3861
Practice Address - Country:US
Practice Address - Phone:321-574-5717
Practice Address - Fax:321-574-5717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home