Organization
HOLY HILL HOME CARE EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK PURACI (ADMINISTRATOR)
(909) 446-1148
Entity
Organization
Contact information
Practice address
34034 NEBRASKA LN, YUCAIPA, CA 92399-2334
(909) 446-1148
Mailing address
34034 NEBRASKA LN, YUCAIPA, CA 92399-2334
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7455339
—
CA
Enumeration date
09/23/2010
Last updated
07/21/2022
Update your record
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