# ADONAI CONGREGATE LIVING, INC.

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

## Provider details

- **NPI number:** 1407279367
- **Authorized official:** SYUZANNA MNATSAKANYAN (CEO)
- **Authorized official phone:** (818) 439-0711

## Contact information

- **Practice address:** 17527 COVELLO ST, LAKE BALBOA, CA 91406-2320
- **Practice address phone:** (818) 668-5020
- **Practice address fax:** (818) 668-5021
- **Mailing address:** 17527 COVELLO ST, LAKE BALBOA, CA 91406-2320
- **Mailing address phone:** (818) 668-5020
- **Mailing address fax:** (818) 668-5021

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 11/21/2019