# JL REGISTERED NURSING HOME HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim Healthcare Personal Care and Support Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376956169
- **Authorized official:** MRS. CHIEU THI LIPSCOMB RN (OWNER/PRESIDENT)
- **Authorized official phone:** (408) 691-6974

## Contact information

- **Practice address:** 11992 STATE HIGHWAY 88, SUITE 2046, JACKSON, CA 95642-9404
- **Practice address phone:** (209) 223-9112
- **Mailing address:** 11992 STATE HIGHWAY 88, SUITE 2046, JACKSON, CA 95642-9404
- **Mailing address phone:** (209) 223-9112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 06/09/2014