| NPI | 1720115934 |
|---|---|
| Doing Business As | JADE HOME ICF/DD-H |
| Entity Type | Organization |
| Authorized Contact | MATTHEW STEINORTH President 805-485-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-09-20 |