Msji Home INC
NPI #1104057496 in Sandimas, California
Provider Information
- NPI Number
- 1104057496
- Entity Type
- Organization
- Organization Name
- Msji Home INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 4, 2009
- Last Updated
- Aug 4, 2009
Practice Location
- Address
- 1324 JUANITA AV
- City
- Sandimas
- State
- California
- ZIP Code
- 91773
- Phone
- (909) 592-6003
Authorized Official
- Name
- MR. JAYDEV BHAVSAR
- Title
- ADMINISTRATOR
- Phone
- (909) 592-6003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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