# KHT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497347223
- **Authorized official:** JAMES LACUESTA SANTIAGO (ADMINISTRATOR)
- **Authorized official phone:** (562) 469-9005

## Contact information

- **Practice address:** 2044 HOLLY AVE, ONTARIO, CA 91762-6322
- **Practice address phone:** (562) 469-9005
- **Mailing address:** 2044 HOLLY AVE, ONTARIO, CA 91762-6322
- **Mailing address phone:** (562) 469-9005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 02/03/2021