Organization
K PRIME HOME LLC
Active
Parent organization
K PRIME HOME LLC
Other names
AK AND DAVID SENIOR CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
K PRIME HOME LLC
Authorized official
MARY JEAN B CATACUTAN (LICENSEE)
(949) 677-3394
Entity
Organization
Contact information
Practice address
24302 BARK ST, LAKE FOREST, CA 92630-5227
(949) 462-0250
(949) 462-0250
Mailing address
24302 BARK ST, LAKE FOREST, CA 92630-5227
(949) 462-0250
(949) 462-0250
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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