# OPTION ONE CONGREGATE LIVING FACILITY SANTA CLARITA INC

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

## Provider details

- **NPI number:** 1063987253
- **Authorized official:** MR. RAJAN JACOB (CEO)
- **Authorized official phone:** (661) 977-1989

## Contact information

- **Practice address:** 20251 LAKEMORE DR, CANYON COUNTRY, CA 91351-1058
- **Practice address phone:** (661) 977-1989
- **Practice address fax:** (661) 977-1527
- **Mailing address:** 20251 LAKEMORE DR, CANYON COUNTRY, CA 91351-1058
- **Mailing address phone:** (661) 977-1989
- **Mailing address fax:** (661) 977-1527

## Taxonomy

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

## Other

- **Enumeration date:** 10/04/2018
- **Last updated:** 10/04/2018