Organization
JANET'S ENTERPRISE, INC
Active
Other names
Kenyon House
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN JANET HAYWOOD (OWNER)
(951) 545-4462
Entity
Organization
Contact information
Practice address
904 W 9TH ST, UPLAND, CA 91786-4576
(951) 545-4462
(909) 577-0111
Mailing address
904 W 9TH ST, UPLAND, CA 91786-4576
(951) 545-4462
(909) 577-0110
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240000030
—
CA
Enumeration date
12/19/2019
Last updated
12/19/2019
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