Organization
JANRAY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON BAESA (ADMINISTRATOR)
(562) 773-5700
Entity
Organization
Contact information
Practice address
12921 BIOLA AVE, LA MIRADA, CA 90638-2104
(562) 773-5700
(562) 906-2992
Mailing address
12921 BIOLA AVE, LA MIRADA, CA 90638-2104
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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