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Organization
CONGREGATE SAN JACINTO
Active
Organization
CONGREGATE SAN JACINTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY KISTORIAN (PRESIDENT)
(951) 654-2097
Entity
Organization
Contact information
Practice address
699 WINNERS CIR, SAN JACINTO, CA 92582-2741
(951) 654-2097
Mailing address
699 WINNERS CIR, SAN JACINTO, CA 92582-2741
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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