Organization
CASA VIEJOS PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JOYCE THOMPSON (ADMININSTRATOR)
(209) 984-5124
Entity
Organization
Contact information
Practice address
18760 CHABROULLIAN LN, JAMESTOWN, CA 95327-9617
(209) 984-5124
(209) 984-0248
Mailing address
PO BOX 1206, JAMESTOWN, CA 95327-1206
(209) 984-5124
(209) 984-0248
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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