Organization
JDC PROVIDER, INC
Active
Parent organization
JDC PROVIDER, INC
Other names
Caregiver Provider
Organization subpart
Yes
Provider details
NPI number
Legal business name
JDC PROVIDER, INC
Authorized official
JENNIFER DAIN (PRESIDENT)
(951) 246-2550
Entity
Organization
Contact information
Practice address
31520 RAILROAD CANYON RD STE A, CANYON LAKE, CA 92587-9499
(951) 246-2550
(951) 246-2568
Mailing address
31520 RAILROAD CANYON RD STE A, CANYON LAKE, CA 92587-9499
(951) 246-2550
(951) 246-2568
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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