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
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None 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.