# HEART OF THE VALLEY CONGREGATE LIVING

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

## Provider details

- **NPI number:** 1104226802
- **Authorized official:** MR. JEFFERSON REYES (CEO/PRESIDENT)
- **Authorized official phone:** (818) 251-6433

## Contact information

- **Practice address:** 44851 MARIPOSA DR, LANCASTER, CA 93536-8375
- **Practice address phone:** (818) 251-6433
- **Practice address fax:** (818) 475-5211
- **Mailing address:** 44851 MARIPOSA DR, LANCASTER, CA 93536-8375

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2014
- **Last updated:** 08/29/2014
