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Organization

THE HARVEST HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIMM KESONE SANASINH ADMINISTRATOR (OWNER)
(949) 233-1645
Entity
Organization

Contact information

Practice address
11915 BERLYN DOVE CT, JURUPA VALLEY, CA 91752-2927
(951) 332-0421
(951) 332-0288
Mailing address
6885 CEDAR CREEK RD, EASTVALE, CA 92880-8805
(951) 332-0421
(951) 332-0288

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
11/25/2025
Last updated
11/25/2025
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