# SEQUOIA HEALTH & CARE RESIDENCE CONGREGATE CARE HOME

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

## Provider details

- **NPI number:** 1083401665
- **Authorized official:** MISS JEANNETTE PHILLIPS RN (CEO)
- **Authorized official phone:** (310) 686-9676

## Contact information

- **Practice address:** 13361 SEQUOIA RD, VICTORVILLE, CA 92392-9796
- **Practice address phone:** (310) 686-9676
- **Mailing address:** 13361 SEQUOIA RD, VICTORVILLE, CA 92392-9796
- **Mailing address phone:** (310) 686-9676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | — | — | Yes |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 04/22/2026