Organization
EMPIRE CONGREGATE LIVING HEALTH FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL LIM (CEO)
(951) 264-7617
Entity
Organization
Contact information
Practice address
11657 4TH AVE, HESPERIA, CA 92345-2041
(951) 254-7617
Mailing address
11657 4TH AVE, HESPERIA, CA 92345-2041
(951) 254-7617
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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