Provider Demographics
NPI:1831819192
Name:WALK OF JOY LLC
Entity type:Organization
Organization Name:WALK OF JOY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WENDELL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:513-417-7762
Mailing Address - Street 1:2692 MADISON RD # N1-102
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1321
Mailing Address - Country:US
Mailing Address - Phone:513-376-7777
Mailing Address - Fax:513-376-7777
Practice Address - Street 1:5610 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-7006
Practice Address - Country:US
Practice Address - Phone:513-376-7777
Practice Address - Fax:513-376-7777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care