Organization · Type 2 NPI

Leisure Village Inc

Assisted Living Facility · Lake Balboa, CA

NPI number 1366991135 Active

Practice location

6728 Gaviota Ave
Lake Balboa, CA 91406-5944

Call (818) 585-2200 Map

Fax (818) 387-6445

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X197607543 (CA)

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 1366991135

Leisure Village Inc's National Provider Identifier is 1366991135, issued on Sep 22, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lake Balboa, CA. The record was last updated on Sep 22, 2016.