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Organization
CORONA CONGREGATE CARE
Active
Organization
CORONA CONGREGATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY SIHAVONG VANNOY (OWNER/CEO)
(951) 847-5476
Entity
Organization
Contact information
Practice address
7890 VANDEWATER ST, EASTVALE, CA 92880-5514
(951) 847-5476
Mailing address
7056 ARCHIBALD AVE # 102-322, EASTVALE, CA 92880-8713
(951) 847-5476
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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