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Organization

JEWEL HOMECARE LLC

Active
Other names
Jewel Homecare 2
Organization subpart
No

Provider details

NPI number
Authorized official
JEHLA ROSE DELA ROSA (MANAGING MEMBER)
(949) 394-8707
Entity
Organization

Contact information

Practice address
20152 RIVERSIDE DR, NEWPORT BEACH, CA 92660-1325
(714) 340-6697
Mailing address
5111 HAMER LN, PLACENTIA, CA 92870-3650
(714) 340-6697

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
306005502
CCLD
CA
Enumeration date
07/21/2020
Last updated
07/21/2020
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