Organization · Type 2 NPI

Leisure Village Inc

Assisted Living Facility · Lake Balboa, CA

NPI number 1598936205 Active

Practice location

6726 Gaviota Ave
Lake Balboa, CA 91406-5944

Fax (818) 774-0563

Mailing address

19528 Ventura Blvd Ste 660
Tarzana, CA 91356-2917

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 1598936205

Leisure Village Inc's National Provider Identifier is 1598936205, issued on Mar 20, 2008. 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 Mar 20, 2008.