Organization
G V CONGREGATE LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYUZANNA MNATSAKANYAN (CFO)
(661) 888-5885
Entity
Organization
Contact information
Practice address
3027 W AVENUE L8, LANCASTER, CA 93536-3405
(661) 888-5885
Mailing address
3027 W AVENUE L8, LANCASTER, CA 93536-3405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
03/27/2017
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