Organization
MAGNIFIQUE CONGREGATE LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA BZNUNI RN (CEO)
(323) 833-1794
Entity
Organization
Contact information
Practice address
1827 W AVENUE K12, LANCASTER, CA 93534-6235
(323) 833-1794
Mailing address
1827 W AVENUE K12, LANCASTER, CA 93534-6235
(323) 833-1794
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/17/2018
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