Organization
OPTION ONE CONGREGATE LIVING FACILITY SANTA CLARITA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJAN JACOB (CEO)
(661) 977-1989
Entity
Organization
Contact information
Practice address
20251 LAKEMORE DR, CANYON COUNTRY, CA 91351-1058
(661) 977-1989
(661) 977-1527
Mailing address
20251 LAKEMORE DR, CANYON COUNTRY, CA 91351-1058
(661) 977-1989
(661) 977-1527
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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