Organization
JOYVIDA LLC
Active
Other names
Amada Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEN A JENSON (OWNER CEO)
(719) 377-9121
Entity
Organization
Contact information
Practice address
755 HIGHWAY 105 STE D, PALMER LAKE, CO 80133-8902
(719) 377-9121
(719) 355-8382
Mailing address
755 HIGHWAY 105 STE D, PALMER LAKE, CO 80133-8902
(719) 377-9121
(719) 355-8382
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
755105
INSURANCE
CO
Enumeration date
10/07/2020
Last updated
07/31/2023
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