Corona Congregate Care
NPI #1467197103 in Eastvale, California
Provider Information
- NPI Number
- 1467197103
- Entity Type
- Organization
- Organization Name
- Corona Congregate Care
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 27, 2022
- Last Updated
- Apr 27, 2022
Practice Location
- Address
- 7890 VANDEWATER ST
- City
- Eastvale
- State
- California
- ZIP Code
- 92880-5514
- Phone
- (951) 847-5476
Authorized Official
- Name
- LESLEY SIHAVONG VANNOY
- Title
- OWNER/CEO
- Phone
- (951) 847-5476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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