Organization
JRB SULLIVAN ENTERPRISES, INC.
Active
Other names
Nina's Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE RENEE BROWN (PRESIDENT)
(925) 595-7151
Entity
Organization
Contact information
Practice address
4272 GLAZIER CT, CONCORD, CA 94521-1944
(510) 205-8491
Mailing address
5191 MATHEWSON CT, ANTIOCH, CA 94531-9135
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
02/07/2024
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