# CONGREGATE SAN JACINTO

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

## Provider details

- **NPI number:** 1437534856
- **Authorized official:** HARRY KISTORIAN (PRESIDENT)
- **Authorized official phone:** (951) 654-2097

## Contact information

- **Practice address:** 699 WINNERS CIR, SAN JACINTO, CA 92582-2741
- **Practice address phone:** (951) 654-2097
- **Mailing address:** 699 WINNERS CIR, SAN JACINTO, CA 92582-2741

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2015
- **Last updated:** 07/27/2015