Provider Demographics
NPI:1942022876
Name:MZUMARA, JOYCE THOKOZILE (MBA)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:THOKOZILE
Last Name:MZUMARA
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 502028
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-7028
Mailing Address - Country:US
Mailing Address - Phone:317-588-6588
Mailing Address - Fax:317-288-8132
Practice Address - Street 1:5511 E 82ND ST STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-4515
Practice Address - Country:US
Practice Address - Phone:317-588-6588
Practice Address - Fax:317-288-8132
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN012950-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care