# EMPIRE CONGREGATE LIVING HEALTH FACILITY

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

## Provider details

- **NPI number:** 1467305003
- **Authorized official:** MR. PAUL LIM (CEO)
- **Authorized official phone:** (951) 264-7617

## Contact information

- **Practice address:** 11657 4TH AVE, HESPERIA, CA 92345-2041
- **Practice address phone:** (951) 254-7617
- **Mailing address:** 11657 4TH AVE, HESPERIA, CA 92345-2041
- **Mailing address phone:** (951) 254-7617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2026
- **Last updated:** 02/16/2026