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Organization
HOME OF JANUARY, LLC
Active
Organization
HOME OF JANUARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIESHA L MILLER (EXECUTIVE DIRECTOR)
(619) 808-5196
Entity
Organization
Contact information
Practice address
1549 ANTOINE DR, SAN DIEGO, CA 92139-3949
(619) 808-5196
Mailing address
1549 ANTOINE DR, SAN DIEGO, CA 92139-3949
(619) 808-5196
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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