Healthcare Provider Details

I. General information

NPI: 1487863544
Provider Name (Legal Business Name): JONBEC CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12980 2ND ST
YUCAIPA CA
92399-5604
US

IV. Provider business mailing address

PO BOX 10788
SAN BERNARDINO CA
92423-0788
US

V. Phone/Fax

Practice location:
  • Phone: 909-790-4012
  • Fax: 909-790-3615
Mailing address:
  • Phone: 909-798-4003
  • Fax: 909-798-5002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: BECKY J JOSEPH
Title or Position: C.F.O.
Credential: ADMINISTRATOR
Phone: 909-798-4003