Organization
PALMDALE CONGREGATE LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOURAD MIKE TOKATLYAN (CEO)
(818) 753-4664
Entity
Organization
Contact information
Practice address
38702 12TH ST E, PALMDALE, CA 93550-3990
(818) 731-4664
Mailing address
38702 12TH ST E, PALMDALE, CA 93550-3990
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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