# HAMNER CONGREGATE CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013726801
- **Authorized official:** LESLEY S VANNOY OWNER (CEO/OWNER)
- **Authorized official phone:** (951) 847-5476

## Contact information

- **Practice address:** 7121 MACKINAW CT, EASTVALE, CA 91752-1492
- **Practice address phone:** (951) 847-5476
- **Practice address fax:** (951) 363-3200
- **Mailing address:** 7056 ARCHIBALD AVE STE 102-322, EASTVALE, CA 92880-8713
- **Mailing address phone:** (951) 847-5476
- **Mailing address fax:** (951) 363-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 01/06/2025