# CASA VIEJOS PERSONAL CARE

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

## Provider details

- **NPI number:** 1649515388
- **Authorized official:** JENNIFER JOYCE THOMPSON (ADMININSTRATOR)
- **Authorized official phone:** (209) 984-5124

## Contact information

- **Practice address:** 18760 CHABROULLIAN LN, JAMESTOWN, CA 95327-9617
- **Practice address phone:** (209) 984-5124
- **Practice address fax:** (209) 984-0248
- **Mailing address:** PO BOX 1206, JAMESTOWN, CA 95327-1206
- **Mailing address phone:** (209) 984-5124
- **Mailing address fax:** (209) 984-0248

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 12/06/2012