Organization
JOLLYBES PRODUCTIONS, LLC
Active
Other names
1Community Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES GARCIA RN, MSN, MHA (PRESIDENT)
(818) 640-7684
Entity
Organization
Contact information
Practice address
6101 CHERRY AVE STE 102A, FONTANA, CA 92336-5362
(818) 640-7684
(909) 463-7442
Mailing address
6101 CHERRY AVE STE 102A, FONTANA, CA 92336-5362
(818) 640-7684
(909) 463-7442
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364700116
HCO FACILITY NUMBER
CA
Enumeration date
10/19/2022
Last updated
10/19/2022
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