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Organization

JEWEL HOMECARE LLC

Active
Other names
Jewel Home 2, Jewel Home 1
Organization subpart
No

Provider details

NPI number
Authorized official
JEHLA DELA ROSA (MANAGING PARTNER)
(424) 270-4452
Entity
Organization

Contact information

Practice address
5111 HAMER LN, PLACENTIA, CA 92870-3650
(714) 983-7637
Mailing address
5111 HAMER LN, PLACENTIA, CA 92870-3650

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
306005501
FACILITY NUMBER
CA
01
306005502
FACILITY NUMBER
CA
Enumeration date
12/07/2018
Last updated
07/23/2020
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