MSJI HOME INC
Residential Treatment Facilities at Juanita Ave, San Dimas, CA

License number
California 197801816
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. JAYDEV BHAVSAR
Title: ADMINISTRATOR
Phone: (909) 592-6003
Address
Address
1324 Juanita Ave, San Dimas, CA 91773
National Provider ID: 1104057496
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MSJI HOME, INC

San Dimas, CA

Registration:
Dec 11, 1995
Addresses:
PO Box 4861, San Dimas, CA 91773 (Physical)
1324 W Juanita Ave, San Dimas, CA 91773
State ID:
C1957599
Business type:
Articles of Incorporation
President:
Jaynev Bhavsar (President)
Agent:
Jaydev Bhavsas,San Dimas, CA 91773 (Physical)

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