Provider Demographics
NPI:1255026662
Name:TRUE JOY, LLC
Entity type:Organization
Organization Name:TRUE JOY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PRUNDENTIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKANGAMIJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-344-8174
Mailing Address - Street 1:5003 W ST CATHERINE AVE
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-6284
Mailing Address - Country:US
Mailing Address - Phone:480-300-1998
Mailing Address - Fax:
Practice Address - Street 1:5003 W ST CATHERINE AVE
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-6284
Practice Address - Country:US
Practice Address - Phone:480-300-1998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care