Organization
AGATE CONGREGATE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMM K SANASINH OWNER (CEO/OWNER)
(949) 233-1645
Entity
Organization
Contact information
Practice address
13968 AGATE CT, EASTVALE, CA 92880-3834
(949) 233-1645
(951) 220-7169
Mailing address
6835 RIVERGLEN CT, EASTVALE, CA 92880-3842
(949) 233-1645
(951) 220-7169
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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