# SINALOA CONGREGATE LIVING LLC

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

## Provider details

- **NPI number:** 1740772631
- **Authorized official:** KELLY FABROS (MANAGER)
- **Authorized official phone:** (310) 991-3733

## Contact information

- **Practice address:** 1432 SINALOA RD, SIMI VALLEY, CA 93065-3031
- **Practice address phone:** (805) 842-1990
- **Mailing address:** 1432 SINALOA RD, SIMI VALLEY, CA 93065-3031
- **Mailing address phone:** (805) 842-1990

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 06/05/2018