Provider Demographics
NPI:1295910750
Name:THEJOYOFLIVINGPROGRAMSFORYOUTH
Entity type:Organization
Organization Name:THEJOYOFLIVINGPROGRAMSFORYOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHI
Authorized Official - Middle Name:S
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-895-4066
Mailing Address - Street 1:5 LAKE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-3366
Mailing Address - Country:US
Mailing Address - Phone:770-895-4066
Mailing Address - Fax:770-252-4826
Practice Address - Street 1:5 LAKE FOREST DR
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-3366
Practice Address - Country:US
Practice Address - Phone:770-252-4826
Practice Address - Fax:770-252-4846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier