Individual provider · Type 1 NPI

Leontina Balos

Assisted Living Facility · Garden Grove, CA

NPI number 1407375520 Active

Practice location

10452 Mildred Avenue
Garden Grove, CA 92843

Mailing address

10452 Mildred Ave
Garden Grove, CA 92843-1165

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X306004237 (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 1407375520

Leontina Balos's National Provider Identifier is 1407375520, issued on Sep 11, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Garden Grove, CA. The record was last updated on Jul 21, 2022.