Organization
HOLY HILL HOME CARE EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK PURACI (BUSINESS ADMINISTRATOR)
(909) 806-9797
Entity
Organization
Contact information
Practice address
34034 NEBRASKA LN, YUCAIPA, CA 92399-2334
(909) 446-1148
(909) 363-8237
Mailing address
34034 NEBRASKA LN, YUCAIPA, CA 92399-2334
(909) 446-1148
(909) 363-8237
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
CA
Enumeration date
02/17/2010
Last updated
07/21/2022
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