Organization
JENYMEL'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN B OPENA BSEE-HE (ADMINISTRATOR/OWNER)
(714) 875-0581
Entity
Organization
Contact information
Practice address
18314 IBEX AVE, ARTESIA, CA 90701-5757
(562) 924-8557
(562) 860-3048
Mailing address
2790 HIDDEN HILLS WAY, CORONA, CA 92882-8027
(714) 875-0581
(562) 860-3048
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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