Organization
JUCEDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROWIE Q JUCAL (OWNER/ADMINISTRATOR)
(626) 814-8626
Entity
Organization
Contact information
Practice address
15906 E BALLENTINE PL, COVINA, CA 91722-3338
(626) 814-8626
Mailing address
15906 E BALLENTINE PL, COVINA, CA 91722-3338
(626) 814-8626
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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