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Organization

SEQUOIA HEALTH & CARE RESIDENCE CONGREGATE CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JEANNETTE PHILLIPS RN (CEO)
(310) 686-9676
Entity
Organization

Contact information

Practice address
13361 SEQUOIA RD, VICTORVILLE, CA 92392-9796
(310) 686-9676
Mailing address
13361 SEQUOIA RD, VICTORVILLE, CA 92392-9796
(310) 686-9676

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
04/24/2025
Last updated
04/22/2026
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