K Prime Home LLC
NPI #1811680648 in Lake Forest, California
Provider Information
- NPI Number
- 1811680648
- Entity Type
- Organization
- Organization Name
- K Prime Home LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- K PRIME HOME LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 29, 2023
- Last Updated
- May 29, 2023
Practice Location
- Address
- 24302 BARK ST
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-5227
- Phone
- (949) 462-0250
Authorized Official
- Name
- MARY JEAN B CATACUTAN
- Title
- LICENSEE
- Phone
- (949) 677-3394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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