Organization
E&S JENSEN INC.
Active
Parent organization
THE JENSEN HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE JENSEN HOME
Authorized official
SHERRI LYNN ROSSELL-JENSEN (CFO/ADMINISTRATOR)
(916) 247-6264
Entity
Organization
Contact information
Practice address
20560 N DAVIS RD, LODI, CA 95242-9608
(916) 247-6264
(209) 366-6831
Mailing address
9629 RIDGEROCK DR, ELK GROVE, CA 95624-4461
(916) 247-6264
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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