# UNIFIED CARE CONGREGATE LIVING, LLC

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

## Provider details

- **NPI number:** 1548078132
- **Authorized official:** MR. ADAM DE LOS REYES RN (ADMINISTRATOR/ DON)
- **Authorized official phone:** (714) 623-0859

## Contact information

- **Practice address:** 13668 DARWIN DR, MORENO VALLEY, CA 92555-2554
- **Practice address phone:** (714) 623-0859
- **Mailing address:** 16909 SIMONDS ST, GRANADA HILLS, CA 91344-3619
- **Mailing address phone:** (714) 623-0859

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2024
- **Last updated:** 12/30/2024