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1356120307
MONTELAGO CONGREGATE LIVING, LLC
RIVERSIDE, CA
NPI
1356120307
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Entity Type
Organization
Authorized Contact
EARL BONNER
Administrator
951-662-0719
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2023-09-27
Last Update Date
2023-09-27
Business Address
MONTELAGO CONGREGATE LIVING, LLC
12537 POINSETTA DR
RIVERSIDE, CA 92503-7067
Phone number: 951-662-0719
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Mailing Address
MONTELAGO CONGREGATE LIVING, LLC
20816 CENTER STREET
RIVERSIDE, CA 92507
Phone number: 951-662-0719
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