Organization
JOYFUL LIVING DDA HOME, INC.
Active
Other names
Joyful Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSEPHINE HAYNES GRIFFIN RN,BSN, QP (CLINICAL DIRECTOR OF SERVICES)
(704) 481-9263
Entity
Organization
Contact information
Practice address
115 MORTON ST, SHELBY, NC 28152-6621
(704) 481-9263
(704) 482-1692
Mailing address
115 MORTON ST, SHELBY, NC 28152-6621
(704) 481-9263
(704) 482-1692
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-023-083
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409378
—
NC
Enumeration date
02/21/2007
Last updated
08/22/2020
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