24D2174538 CLIA NUMBER - JOY CARE HOMES LLC

Laboratory Demographics

CLIA Number: 24D2174538

Facility Name: JOY CARE HOMES LLC

Facility Address:
11900 QUEBEC CIRCLE
CHAMPLIN, MN
ZIP 55316
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Facility Phone Number: 651 354-3127

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1205474236

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	24D2174538
LAB Type	Assisted Living Facility
Facility Name	JOY CARE HOMES LLC
Street	11900 QUEBEC CIRCLE
City	CHAMPLIN
State	MN
ZIP	55316
Phone	651 354-3127
CertificateType	4
CertificateEffectiveDate	11/5/2023
CertificateExpirationDate	11/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024