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Organization

SANTA ANA CONGREGATE LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLON SHELLY MBR (CEO)
(818) 456-4926
Entity
Organization

Contact information

Practice address
1809 NANCY LN, SANTA ANA, CA 92706-2112
(818) 456-4926
(310) 919-1616
Mailing address
1809 NANCY LN, SANTA ANA, CA 92706-2112
(818) 456-4926
(310) 919-1616

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary

Other

Enumeration date
12/15/2016
Last updated
12/15/2016
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