# PROMISE ASSISTED LIVING, LLC

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

## Provider details

- **NPI number:** 1477971448
- **Authorized official:** MR. ZULFICAR GREGORY RESTUM (CEO)
- **Authorized official phone:** (310) 205-2591

## Contact information

- **Practice address:** 1231 S ALVARADO ST, LOS ANGELES, CA 90006-4119
- **Practice address phone:** (310) 205-2591
- **Practice address fax:** (310) 205-2596
- **Mailing address:** 1231 S ALVARADO ST, LOS ANGELES, CA 90006-4119
- **Mailing address phone:** (310) 205-2591
- **Mailing address fax:** (310) 205-2596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 197608604 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2014
- **Last updated:** 04/07/2014