# JD RESIDENTIAL CARE, LLC

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

## Provider details

- **NPI number:** 1801309075
- **Authorized official:** JOJI J. JUNIO (LICENSEE)
- **Authorized official phone:** (310) 435-9822

## Contact information

- **Practice address:** 2199 MARVEL AVE, SIMI VALLEY, CA 93065-2211
- **Practice address phone:** (805) 791-3461
- **Practice address fax:** (805) 842-1107
- **Mailing address:** 2199 MARVEL AVE, SIMI VALLEY, CA 93065-2211
- **Mailing address phone:** (805) 791-3461
- **Mailing address fax:** (805) 842-1107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 565802413 | CA | Yes |

## Other

- **Enumeration date:** 11/09/2017
- **Last updated:** 11/09/2017