Organization
JOTAG HOMECARE
Active
Other names
JOTAG HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN BENITEZ RULL (ADMINISTRATOR)
(310) 612-1897
Entity
Organization
Contact information
Practice address
14723 VAN BUREN AVE, GARDENA, CA 90247-3036
(310) 612-1897
(310) 756-6934
Mailing address
14723 VAN BUREN AVE, GARDENA, CA 90247-3036
(310) 612-1897
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
09/28/2022
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