| NPI | 1013674472 |
|---|---|
| Doing Business As | APPLE VALLEY CONGREGATE LIVING HEALTH FACILITY |
| Entity Type | Organization |
| Authorized Contact | THAN T AYE Owner 909-967-1872 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2023-03-22 |