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Organization
KHT
Active
Organization
KHT
Active
Parent organization
KHT
Other names
Josephine's Care Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
KHT
Authorized official
JAMES LACUESTA SANTIAGO (ADMINISTRATOR)
(562) 469-9005
Entity
Organization
Contact information
Practice address
1566 E HAZELTINE ST, ONTARIO, CA 91761-7242
(562) 469-9005
Mailing address
1566 E HAZELTINE ST, ONTARIO, CA 91761-7242
(562) 469-9005
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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