Organization
BAY AVENUE CONGREGATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAURABH BHARADWAJ RN (CFO, MEMBER)
(562) 331-0332
Entity
Organization
Contact information
Practice address
26197 BAY AVE, MORENO VALLEY, CA 92555-3850
(562) 331-0332
Mailing address
272 W 20TH ST, UPLAND, CA 91784-8222
(562) 331-0332
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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