# ALCOVE CONGREGATE LIVING, INC.

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

## Provider details

- **NPI number:** 1306241070
- **Authorized official:** GRIGOR KEPENYAN (PRESIDENT/CEO)
- **Authorized official phone:** (818) 968-8715

## Contact information

- **Practice address:** 6509 ALCOVE AVE, NORTH HOLLYWOOD, CA 91606-1106
- **Practice address phone:** (818) 968-8715
- **Practice address fax:** (818) 765-1700
- **Mailing address:** 6509 ALCOVE AVE, NORTH HOLLYWOOD, CA 91606-1106
- **Mailing address phone:** (818) 968-8715
- **Mailing address fax:** (818) 765-1700

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2014
- **Last updated:** 10/23/2014