# SUNSHINE 1 CONGREGATE HOME INC

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

## Provider details

- **NPI number:** 1982184743
- **Authorized official:** ILDIKO BROWN (CEO)
- **Authorized official phone:** (424) 347-7065

## Contact information

- **Practice address:** 1721 242ND ST, LOMITA, CA 90717-1306
- **Practice address phone:** (424) 347-7065
- **Practice address fax:** (424) 347-7085
- **Mailing address:** 1721 242ND ST, LOMITA, CA 90717-1306
- **Mailing address phone:** (424) 347-7065
- **Mailing address fax:** (424) 347-7085

## Taxonomy

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

## Other

- **Enumeration date:** 08/20/2018
- **Last updated:** 08/20/2018