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Organization
FRONT PORCH COMMUNITIES AND SERVICES
Active
Organization
FRONT PORCH COMMUNITIES AND SERVICES
Active
Other names
Kingsley Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT EDELSTONE (SR. DIRECTOR RISK MANAGEMENT)
(925) 956-7360
Entity
Organization
Contact information
Practice address
1055 N KINGSLEY DR, LOS ANGELES, CA 90029-1207
(323) 661-1128
(323) 661-4121
Mailing address
1055 N KINGSLEY DR, LOS ANGELES, CA 90029-1207
(323) 661-1128
(323) 661-4121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
197602346
CA
314000000X
Skilled Nursing Facility
Primary
970000015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RCF00015F
—
CA
05
—
ZZT05086G
—
CA
Enumeration date
10/27/2006
Last updated
07/29/2021
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