| Joyful Haven Supportive Services Llc | |
|
11101 Fountain Lake Blvd Leesburg FL 34788-4246 | |
| (352) 406-2829 | |
| Not Available |
| Full Name | Joyful Haven Supportive Services Llc |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 11101 Fountain Lake Blvd, Leesburg, Florida |
| Authorized Official Name and Position | Joey Q Williams (ADMINISTRATOR) |
| Authorized Official Contact | 3524062829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joyful Haven Supportive Services Llc Po Box 573 Tavares FL 32778-0573 Ph: () - | Joyful Haven Supportive Services Llc 11101 Fountain Lake Blvd Leesburg FL 34788-4246 Ph: (352) 406-2829 |
| NPI Number | 1144049438 |
|---|---|
| Provider Enumeration Date | 10/04/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144049438 | NPI | - | NPPES |
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