Organization
A & J CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN TIMBOL (LICENSEE)
(323) 868-9259
Entity
Organization
Contact information
Practice address
5217 W GOWAN RD, LAS VEGAS, NV 89130-3118
(702) 645-2291
(702) 395-6105
Mailing address
2251 HILL DR, LOS ANGELES, CA 90041-1130
(323) 868-9259
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
49AGC-13
NV
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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