# ADONAI CONGREGATE LIVING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADONAI CONGREGATE LIVING INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275879652
- **Authorized official:** SYUZANNA MNATSAKANYAN (CEO)
- **Authorized official phone:** (818) 439-0711

## Contact information

- **Practice address:** 10215 LASAINE AVE, NORTHRIDGE, CA 91325-1511
- **Practice address phone:** (818) 773-0700
- **Practice address fax:** (818) 773-0701
- **Mailing address:** 10215 LASAINE AVE, NORTHRIDGE, CA 91325-1511
- **Mailing address phone:** (818) 773-0700
- **Mailing address fax:** (818) 773-0701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550002504 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2012
- **Last updated:** 11/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1275879652 | MEDICAL | CA |