Organization
JURADO ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO JURADO (ADMISTRATOR)
(909) 772-9158
Entity
Organization
Contact information
Practice address
6206 WALNUT AVE, CHINO, CA 91710-2774
(909) 627-0422
(909) 627-7533
Mailing address
17870 CASTLETON ST STE 317, CITY OF INDUSTRY, CA 91748-6716
(626) 935-0606
(626) 935-0415
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC60842F
PROVIDER
CA
Enumeration date
01/18/2007
Last updated
08/22/2020
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