| NPI | 1225382070 |
|---|---|
| Doing Business As | JUA VALLEY FAMILY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | KANISHA DICKENS Family Care Administrator 866-654-1113 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-032-122) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |