Organization
JOYOUS LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE BASTIAN RN (OWNER/ADMINISTRATOR)
(407) 922-2060
Entity
Organization
Contact information
Practice address
2365 BRONCO DRIVE, ST CLOUD, FL 34771
(407) 593-8037
Mailing address
2365 BRONCO DRIVE, ST CLOUD, FL 34771
(407) 593-8037
(407) 556-3283
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
FL
310400000X
Assisted Living Facility
Primary
AL13118
FL
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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