# CONGREGATIONAL HOMES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MT SAN ANTONIO GARDENS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609859461
- **Authorized official:** MS. PATRICIA WILLIAMS C.F.O. (C.F.O.)
- **Authorized official phone:** (909) 399-1281

## Contact information

- **Practice address:** 900 E HARRISON AVE, POMONA, CA 91767-2075
- **Practice address phone:** (909) 624-5061
- **Practice address fax:** (909) 626-2126
- **Mailing address:** 900 E HARRISON AVE, POMONA, CA 91767-2075
- **Mailing address phone:** (909) 624-5061
- **Mailing address fax:** (909) 626-2126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 191500496 | CA | — |
| 314000000X | Skilled Nursing Facility | 950000078 | CA | Yes |

## Other

- **Enumeration date:** 11/25/2005
- **Last updated:** 07/20/2016