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Organization
JOYCE MARIE HOME, INC
Active
Organization
JOYCE MARIE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTO DAVID (LICENSEE)
(310) 391-1920
Entity
Organization
Contact information
Practice address
2839 S HOLT AVE, LOS ANGELES, CA 90034-2510
(310) 391-1920
(310) 390-3278
Mailing address
11500 PALMS BLVD, LOS ANGELES, CA 90066-2106
(310) 391-1920
(310) 390-3278
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
05/19/2007
Last updated
08/22/2020
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