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General NPI Number Information
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NPI Number | 1790625168
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Entity Type | Organization
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Legal Business Name | GRATEFUL HEARTS INC
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 29238 GLENCOE LN
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City | MENIFEE
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State | CA
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Zip | 92584-7664
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Country | US
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Telephone | 951-246-0684
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Fax |
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Provider Business Mailing Address
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Address Line | 40170 AVENIDA PALIZADA
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City | MURRIETA
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State | CA
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Zip | 92563-5271
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Country | US
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Telephone | 951-709-6249
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. KRISTIN GAYE CHUA
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Credential | RN
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Telephone | 951-709-6249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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