# KEALOHA CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstLight HomeCare of Mission Viejo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790164499
- **Authorized official:** GRACE RONGCAL (MANAGING MEMBER)
- **Authorized official phone:** (949) 288-3267

## Contact information

- **Practice address:** 26050 ACERO, SUITE 303, MISSION VIEJO, CA 92691-2768
- **Practice address phone:** (949) 288-3267
- **Practice address fax:** (949) 238-6379
- **Mailing address:** 26050 ACERO, SUITE 303, MISSION VIEJO, CA 92691-2768
- **Mailing address phone:** (949) 288-3267
- **Mailing address fax:** (949) 238-6379

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2015
- **Last updated:** 05/27/2015