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Organization
JRB SULLIVAN ENTERPRISES, INC.
Active
Organization
JRB SULLIVAN ENTERPRISES, INC.
Active
Other names
Nina's Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE RENEE BROWN (PRESIDENT)
(925) 595-7151
Entity
Organization
Contact information
Practice address
4272 GLAZIER CT, CONCORD, CA 94521-1944
(510) 205-8491
Mailing address
5191 MATHEWSON CT, ANTIOCH, CA 94531-9135
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/04/2023
Last updated
02/07/2024
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