Organization · Type 2 NPI

Lake Balboa Elderly Living Care Inc

Assisted Living Facility · Van Nuys, CA

NPI number 1255203840 Active

Practice location

17221 Cantlay St
Van Nuys, CA 91406-2539

Call (424) 303-8478 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1255203840

Lake Balboa Elderly Living Care Inc's National Provider Identifier is 1255203840, issued on Sep 22, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Van Nuys, CA. The record was last updated on Sep 22, 2025.