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General NPI Number Information
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NPI Number | 1720925589
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Entity Type | Organization
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Legal Business Name | MARCELA CONGREGATE LIVING
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 1969 N LILAC AVENUE
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City | RIALTO
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State | CA
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Zip | 92376
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Country | US
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Telephone | 949-447-4839
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Fax | 888-789-0799
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Provider Business Mailing Address
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Address Line | 6010 EL RANCHO DR
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City | WHITTIER
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State | CA
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Zip | 90606-1414
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Country | US
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Telephone | 949-447-4839
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Fax | 888-789-0799
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Authorized Official
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Title or Position | ADMINISTRATOR, CEO
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Name | MS. TESALONICA DIONISIO CLEMENTE
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Credential | RN,
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Telephone | 949-447-4839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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