Agate Congregate Living LLC
NPI #1982429247 in Eastvale, California
Provider Information
- NPI Number
- 1982429247
- Entity Type
- Organization
- Organization Name
- Agate Congregate Living LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 20, 2024
- Last Updated
- Nov 20, 2024
Practice Location
- Address
- 13968 AGATE CT
- City
- Eastvale
- State
- California
- ZIP Code
- 92880-3834
- Phone
- (949) 233-1645
Authorized Official
- Name
- MR. SIMM K SANASINH, OWNER
- Title
- CEO/OWNER
- Phone
- (949) 233-1645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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