# INLAND EMPIRE CONGREGATE CARE

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

## Provider details

- **NPI number:** 1932909488
- **Authorized official:** ERIC OVASAPYAN (CEO)
- **Authorized official phone:** (818) 605-0006

## Contact information

- **Practice address:** 16566 JACKSON CT, FONTANA, CA 92336-2052
- **Practice address phone:** (818) 605-0006
- **Mailing address:** 16566 JACKSON CT, FONTANA, CA 92336-2052

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2025
- **Last updated:** 03/14/2025