Organization
AJ'S SENIOR CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET BAENA VALENCIA RN (PRESIDENT)
(925) 475-9941
Entity
Organization
Contact information
Practice address
3938 COWELL RD, CONCORD, CA 94518-1709
(925) 475-9941
(925) 689-6888
Mailing address
3938 COWELL RD, CONCORD, CA 94518-1709
(925) 475-9941
(925) 689-6888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
CA
Enumeration date
11/24/2014
Last updated
11/24/2014
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