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General NPI Number Information
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NPI Number | 1144340746
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Entity Type | Organization
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Legal Business Name | JAN & GAIL'S CARE HOMES, INC.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 3345 W MONTE VISTA CT
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City | VISALIA
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State | CA
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Zip | 93277-7117
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Country | US
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Telephone | 559-636-1822
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Fax | 559-688-3611
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Provider Business Mailing Address
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Address Line | 2115 REAGAN ST
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City | TULARE
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State | CA
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Zip | 93274-8327
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Country | US
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Telephone | 559-685-1988
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Fax | 559-688-3611
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GAIL LOUISE SOLORIO
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Credential | RN, FNP
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Telephone | 559-788-9638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 550000164
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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