Organization
UNIFIED CARE CONGREGATE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM DE LOS REYES RN (ADMINISTRATOR/ DON)
(714) 623-0859
Entity
Organization
Contact information
Practice address
13668 DARWIN DR, MORENO VALLEY, CA 92555-2554
(714) 623-0859
Mailing address
16909 SIMONDS ST, GRANADA HILLS, CA 91344-3619
(714) 623-0859
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/30/2024
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