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Organization
DESERT VALLEY CONGREGATE LIVING HEALTH FACILITY
Active
Organization
DESERT VALLEY CONGREGATE LIVING HEALTH FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KNARIK BAGDASARYAN (CEO)
(760) 247-0113
Entity
Organization
Contact information
Practice address
20721 SHOLIC RD, APPLE VALLEY, CA 92308-6332
(760) 247-0113
(760) 247-0112
Mailing address
20721 SHOLIC RD, APPLE VALLEY, CA 92308-6332
(760) 247-0113
(760) 247-0112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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