Organization
RODEO CONGREGATE LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARNIK GEVORGYAN (CEO)
(760) 991-5559
Entity
Organization
Contact information
Practice address
14638 RODEO DR, VICTORVILLE, CA 92395-4133
(760) 991-5559
(818) 670-7868
Mailing address
14638 RODEO DR, VICTORVILLE, CA 92395-4133
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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