# G V CONGREGATE LIVING, INC

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

## Provider details

- **NPI number:** 1588087357
- **Authorized official:** SYUZANNA MNATSAKANYAN (CFO)
- **Authorized official phone:** (661) 888-5885

## Contact information

- **Practice address:** 3027 W AVENUE L8, LANCASTER, CA 93536-3405
- **Practice address phone:** (661) 888-5885
- **Mailing address:** 3027 W AVENUE L8, LANCASTER, CA 93536-3405

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 03/27/2017