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Organization

KAELAS HOME FOR ELDERLY 2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CZARINA DUMALIANG (SOLE LLC MEMBER)
(310) 308-0925
Entity
Organization

Contact information

Practice address
24182 MCCOY RD, LAKE FOREST, CA 92630-3834
(949) 583-1996
Mailing address
5908 PREMIERE AVE, LAKEWOOD, CA 90712-1315
(310) 308-0925

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
03/18/2025
Last updated
03/18/2025
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