Organization
JOY PCA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JACKSON (OWNER)
(225) 778-7961
Entity
Organization
Contact information
Practice address
2195 DALLAS DR, BATON ROUGE, LA 70806-1451
(225) 778-7961
Mailing address
1457 CAROLYN SUE DR, BATON ROUGE, LA 70815-4908
(225) 778-7961
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2203782905
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2408275
—
LA
Enumeration date
10/19/2016
Last updated
10/19/2016
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