Provider Demographics
NPI:1841658994
Name:JOYFUL JOURNEY INC
Entity type:Organization
Organization Name:JOYFUL JOURNEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER / BOARD CHAIR
Authorized Official - Prefix:MR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:BENNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-463-3890
Mailing Address - Street 1:600 LINDBERG RD
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-2006
Mailing Address - Country:US
Mailing Address - Phone:765-607-6156
Mailing Address - Fax:765-807-0293
Practice Address - Street 1:600 LINDBERG RD
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-2006
Practice Address - Country:US
Practice Address - Phone:765-607-6156
Practice Address - Fax:765-807-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care