# LIFESTYLE BOARD AND CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053059378
- **Authorized official:** MR. WILLIAM GALLIOS (OFFICE MANAGER)
- **Authorized official phone:** (702) 290-3235

## Contact information

- **Practice address:** 149 E 235TH ST, CARSON, CA 90745-5318
- **Practice address phone:** (310) 834-9325
- **Mailing address:** 149 E 235TH ST, CARSON, CA 90745-5318
- **Mailing address phone:** (310) 834-9325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2022
- **Last updated:** 05/25/2022