Organization
JMK RESIDENTIAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE M KIDD (SECRETARY)
(310) 756-3839
Entity
Organization
Contact information
Practice address
1278 E 125TH ST, LOS ANGELES, CA 90059-3216
(310) 756-3839
Mailing address
1278 E 125TH ST, LOS ANGELES, CA 90059-3216
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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