Organization
SIMI VALLEY CONGREGATE LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ADAMS (CEO)
(805) 900-0588
Entity
Organization
Contact information
Practice address
2053 SHELBY LN, SIMI VALLEY, CA 93065-2427
(805) 900-0588
(805) 900-0577
Mailing address
2053 SHELBY LN, SIMI VALLEY, CA 93065-2427
(805) 900-0588
(085) 900-0577
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
11/19/2015
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