Organization · Type 2 NPI

Yucca Valley Congregate Living LLC

Skilled Nursing Facility · Yucca Valley, CA

NPI number 1780596775 Active

Practice location

7645 Kickapoo Trl
Yucca Valley, CA 92284-3339

Call (909) 335-1818 Map

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1780596775

Yucca Valley Congregate Living LLC's National Provider Identifier is 1780596775, issued on Sep 22, 2026. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Yucca Valley, CA. The record was last updated on Sep 22, 2026.