# SAINT PAUL CONGREGATE LIVING

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

## Provider details

- **NPI number:** 1710707104
- **Authorized official:** PAUL ORTIZ-LUIS (ADMINISTRATOR)
- **Authorized official phone:** (323) 445-7202

## Contact information

- **Practice address:** 2721 TORY ST, WEST COVINA, CA 91792-1947
- **Practice address phone:** (323) 445-7202
- **Mailing address:** 880 BAGHDADY ST, CORONA, CA 92879-8264
- **Mailing address phone:** (323) 445-7202

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/11/2024