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Organization
SINALOA CONGREGATE LIVING LLC
Active
Organization
SINALOA CONGREGATE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FABROS (MANAGER)
(310) 991-3733
Entity
Organization
Contact information
Practice address
1432 SINALOA RD, SIMI VALLEY, CA 93065-3031
(805) 842-1990
Mailing address
1432 SINALOA RD, SIMI VALLEY, CA 93065-3031
(805) 842-1990
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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