NPI 1104057496

Msji Home INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Sandimas, CA

Practice location

Address: 1324 Juanita Av, Sandimas, CA 91773
Phone: (909) 592-6003
Fax: (909) 592-3432
Mailing address: P.O. Box 4861, Sandimas, CA 91773

Authorised official

Name: Jaydev Bhavsar
Title: Administrator
Phone: (909) 592-6003

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 197801816 (CA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1104057496
Entity type: Organization
NPI issued: 4 Aug 2009
Record last updated: 4 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.