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Organization
CLAREMONT VILLA, INC.
Active
Organization
CLAREMONT VILLA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARNIK GEVORGYAN (CEO)
(760) 596-0977
Entity
Organization
Contact information
Practice address
13290 CLAREMONT AVE, VICTORVILLE, CA 92392-7252
(760) 596-0977
(760) 653-5161
Mailing address
13290 CLAREMONT AVE, VICTORVILLE, CA 92392-7252
(760) 596-0977
(760) 653-5161
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
550002511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124380183
—
CA
Enumeration date
06/14/2012
Last updated
10/28/2015
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