# JENYMEL'S HOME

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

## Provider details

- **NPI number:** 1811156524
- **Authorized official:** MRS. MARYANN B OPENA BSEE-HE (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (714) 875-0581

## Contact information

- **Practice address:** 18314 IBEX AVE, ARTESIA, CA 90701-5757
- **Practice address phone:** (562) 924-8557
- **Practice address fax:** (562) 860-3048
- **Mailing address:** 2790 HIDDEN HILLS WAY, CORONA, CA 92882-8027
- **Mailing address phone:** (714) 875-0581
- **Mailing address fax:** (562) 860-3048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 06/06/2008