Organization
DESERT VALLEY CONGREGATE LIVING HEALTH FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KNARIK BAGDASARYAN (CEO)
(760) 247-0113
Entity
Organization
Contact information
Practice address
20721 SHOLIC RD, APPLE VALLEY, CA 92308-6332
(760) 247-0113
(760) 247-0112
Mailing address
20721 SHOLIC RD, APPLE VALLEY, CA 92308-6332
(760) 247-0113
(760) 247-0112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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