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Juceda Llc
Intellectual Disabilities Intermediate Care Facility in Covina, California
NPI 1801167630

Juceda Llc is a Intellectual Disabilities Intermediate Care Facility based in Covina, CA. Juceda Llc practices in Covina, CA. The NPI Number for Juceda Llc is 1801167630 and holds a License No. (California).

The current practice location address for Juceda Llc is 15906 E Ballentine Pl, Covina, CA and can be reached out via phone at 626-814-8626.

Location: 15906 E Ballentine Pl, Covina, CA, 91722-3338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801167630
Provider Name
Juceda Llc
Credential
Provider Entity Type
Organization
Address
15906 E Ballentine Pl, Covina, CA, 91722-3338
Phone Number
626-814-8626
Fax Number
Provider Enumeration Date
01/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15906 E Ballentine Pl
City
Covina
State
California
Zip
91722-3338
Phone Number
626-814-8626
Fax Number
person
Provider Business Mailing Address Details
Address
15906 E Ballentine Pl
City
Covina
State
California
Zip
91722-3338
Phone Number
626-814-8626
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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