# MAGNOLIA CONGREGATE LIVING INC

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

## Provider details

- **NPI number:** 1669334058
- **Authorized official:** MRS. CINDY LE NP (OWNER)
- **Authorized official phone:** (562) 301-8792

## Contact information

- **Practice address:** 1572 EVERGREEN LN, CORONA, CA 92879-3010
- **Practice address phone:** (562) 301-8792
- **Mailing address:** 1438 STRATTFORD ST, BREA, CA 92821-2169
- **Mailing address phone:** (951) 339-8190
- **Mailing address fax:** (951) 339-8230

## Taxonomy

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

## Other

- **Enumeration date:** 11/24/2025
- **Last updated:** 12/15/2025