Organization
ADONAI CONGREGATE LIVING, INC.
Active
Other names
ADONAI CONGREGATE LIVING INC.
Organization subpart
No
Provider details
NPI number
Authorized official
SYUZANNA MNATSAKANYAN (CEO)
(818) 439-0711
Entity
Organization
Contact information
Practice address
10215 LASAINE AVE, NORTHRIDGE, CA 91325-1511
(818) 773-0700
(818) 773-0701
Mailing address
10215 LASAINE AVE, NORTHRIDGE, CA 91325-1511
(818) 773-0700
(818) 773-0701
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
550002504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275879652
MEDICAL
CA
Enumeration date
12/12/2012
Last updated
11/12/2019
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