OrganizationActive
Adonai Congregate Living, Inc.
NPI 1407279367 · Skilled Nursing Facility · Lake Balboa, CA
Provider details
- NPI number
- 1407279367
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Syuzanna Mnatsakanyan, Ceo
Practice location
17527 Covello St
Lake Balboa, CA 91406-2320
Phone: (818) 668-5020
Fax: (818) 668-5021
Mailing address
17527 Covello St
Lake Balboa, CA 91406-2320
Registry dates
- Enumerated
- 2014-01-29
- Last updated
- 2019-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.