Organization
LOVE CARE JOY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEMMY SUTANTO (LICENSEE)
(480) 738-8369
Entity
Organization
Contact information
Practice address
7040 W BEATRICE ST, PHOENIX, AZ 85043-2388
(480) 738-8369
Mailing address
7040 W BEATRICE ST, PHOENIX, AZ 85043-2388
(480) 738-8369
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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