Organization
JAIRE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARIEL ESTRELLA RESURRECCION (PRESIDENT)
(714) 240-7772
Entity
Organization
Contact information
Practice address
10602 BORWICK ST, BELLFLOWER, CA 90706-6812
(562) 866-2959
Mailing address
6945 E OVERLOOK TER, ANAHEIM, CA 92807-5136
(714) 240-7772
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
306003736
CA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
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Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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