Organization
JOY HOUSE
Active
Organization
JOY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE GRAY RN (PRESIDENT)
(813) 732-6142
Entity
Organization
Contact information
Practice address
7435 MINT JULEP DR, RIVERVIEW, FL 33578-8840
(813) 732-6142
Mailing address
7435 MINT JULEP DR, RIVERVIEW, FL 33578-8840
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689809
—
FL
Enumeration date
03/15/2018
Last updated
06/16/2018
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