Organization
JOHNRE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY SICAT (PRESIDENT)
(951) 313-5685
Entity
Organization
Contact information
Practice address
461 E JOHNSTON AVE, HEMET, CA 92543-7113
(951) 658-6374
(951) 658-5263
Mailing address
16162 PONDEROSA LN, RIVERSIDE, CA 92504-6155
(951) 780-5348
(951) 780-5348
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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