Organization
PIERCE CONGREGATE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVIT ZARGARYAN (ADMINISTRATOR)
(818) 307-3675
Entity
Organization
Contact information
Practice address
12430 PIERCE ST, PACOIMA, CA 91331-1522
(818) 307-3675
Mailing address
12430 PIERCE ST, PACOIMA, CA 91331-1522
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
04/22/2025
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