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Putters Lane Assisted Living

Custodial Care Facility, Adult Care Home in Hemet, CA. Organization (NPI-2).

NPI number1912229949
StatusActive
Last updated in NPPESFeb 17, 2010

Details

NPI
1912229949
Entity type
Organization (NPI-2)
Legal business name
Putters Lane Assisted Living
Organization subpart
No
Enumeration date
Feb 17, 2010
Last updated
Feb 17, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home336403275CAYes

Other names

  • Chicago Hope Assisted Living (Doing Business As)

Practice location

43307 Putters Ln
Hemet, CA 92544-5227

Phone 951-654-8423 · Fax 951-927-0541

Mailing address

43307 Putters Ln
Hemet, CA 92544-5227

Phone 951-654-8423 · Fax 951-927-0541

Authorized official

Karen Eileen Cocchiaro
Owner/Administrator
9516548423

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