Jdc Provider, INC
NPI #1346890746 in Canyon Lake, California
Provider Information
- NPI Number
- 1346890746
- Entity Type
- Organization
- Organization Name
- Jdc Provider, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JDC PROVIDER, INC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Sep 17, 2019
- Last Updated
- Sep 17, 2019
Practice Location
- Address
- 31520 RAILROAD CANYON RD STE A
- City
- Canyon Lake
- State
- California
- ZIP Code
- 92587-9499
- Phone
- (951) 246-2550
Authorized Official
- Name
- JENNIFER DAIN
- Title
- PRESIDENT
- Phone
- (951) 246-2550
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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