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NPI 1376096487 · live from the CMS NPI Registry

Jacqueline Lee Chace, COTA

Skilled Nursing Facility in Palm Springs, CA. National Provider Identifier 1376096487, active.

NPI record

NPI1376096487 Type 1 · individual
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location470 N Villa Ct, #206, Palm Springs, CA 92262
Practice phone401-368-2588
Mailing address10 Fenner St, Cranston, RI 02910
EnumeratedJuly 26, 2016
Last updatedJuly 26, 2016
Sole proprietorYes
Other namesJacqueline Jahnke

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000X3512 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.