Organization
JEN & C HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEFINA GALON (OWNER)
(757) 636-8899
Entity
Organization
Contact information
Practice address
905 ARAGONA BLVD, VIRGINIA BEACH, VA 23455-5301
(757) 636-8899
(757) 498-4739
Mailing address
1040 NORTHWOOD DR, VA BEACH, VA 23452-7952
(757) 636-8899
(757) 498-4739
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1117-01-001
VA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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