Organization
JD RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOJI J. JUNIO (LICENSEE)
(310) 435-9822
Entity
Organization
Contact information
Practice address
2199 MARVEL AVE, SIMI VALLEY, CA 93065-2211
(805) 791-3461
(805) 842-1107
Mailing address
2199 MARVEL AVE, SIMI VALLEY, CA 93065-2211
(805) 791-3461
(805) 842-1107
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
565802413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96035408D
—
CA
Enumeration date
11/09/2017
Last updated
11/09/2017
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