# ROYAL CONGREGATE LIVING LLC

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

## Provider details

- **NPI number:** 1366934663
- **Authorized official:** JOSIE STA MARIA (PRESIDENT)
- **Authorized official phone:** (818) 456-2464

## Contact information

- **Practice address:** 7354 DE SOTO AVE, CANOGA PARK, CA 91303-1703
- **Practice address phone:** (818) 657-7309
- **Mailing address:** 5530 CORBIN AVE STE 112, TARZANA, CA 91356-6048

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2018
- **Last updated:** 11/21/2018