Organization
JOSHUA COMMUNITY ISS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANNAH C GIBSON (PRESIDENT)
(214) 663-7057
Entity
Organization
Contact information
Practice address
3200 S LANCASTER RD STE 625-3, DALLAS, TX 75216-4555
(469) 693-3099
Mailing address
3200 S LANCASTER RD STE 625-3, DALLAS, TX 75216-4555
(469) 693-3099
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QB0400X
Birthing Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
291U00000X
Clinical Medical Laboratory
—
—
310400000X
Assisted Living Facility
—
—
332U00000X
Home Delivered Meals
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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