Organization
JONBEC CARE INC.
Active
Other names
CANAL DIVISION
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY J JOSEPH ADMINISTRATOR (C.F.O.)
(909) 798-4003
Entity
Organization
Contact information
Practice address
11868 CANAL ST, GRAND TERRACE, CA 92313-4941
(909) 872-0508
Mailing address
PO BOX 10788, SAN BERNARDINO, CA 92423-0788
(909) 798-4003
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60578G
—
CA
Enumeration date
02/06/2007
Last updated
08/22/2020
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