Organization · NPI-2

J-J Qual Care Home

Intermediate Care Facility, Intellectual Disabilities · Los Angeles, CA

NPI number1679788566
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1679788566
Entity type
Organization (NPI-2)
Legal business name
J-J Qual Care Home
Organization subpart
No
Enumeration date
May 13, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities960001059CAYes

Practice location

1306 S Hudson Ave
Los Angeles, CA 90019-3013

Phone 323-939-3964 · Fax 323-939-3964

Mailing address

2251 Hill Dr
Los Angeles, CA 90041-1130

Phone 323-478-1936 · Fax 323-478-7044

Authorized official

Jean Timbol
Licensee
3234781936

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