Organization
SAINT PAUL CONGREGATE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ORTIZ-LUIS (ADMINISTRATOR)
(323) 445-7202
Entity
Organization
Contact information
Practice address
2721 TORY ST, WEST COVINA, CA 91792-1947
(323) 445-7202
Mailing address
880 BAGHDADY ST, CORONA, CA 92879-8264
(323) 445-7202
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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