# A & J CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588178081
- **Authorized official:** MS. JEAN TIMBOL (LICENSEE)
- **Authorized official phone:** (323) 868-9259

## Contact information

- **Practice address:** 5217 W GOWAN RD, LAS VEGAS, NV 89130-3118
- **Practice address phone:** (702) 645-2291
- **Practice address fax:** (702) 395-6105
- **Mailing address:** 2251 HILL DR, LOS ANGELES, CA 90041-1130
- **Mailing address phone:** (323) 868-9259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 49AGC-13 | NV | Yes |

## Other

- **Enumeration date:** 11/21/2017
- **Last updated:** 11/21/2017