# LAUREL AVENUE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison Grove Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871980722
- **Authorized official:** JEANNE STEELE (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (909) 792-6050

## Contact information

- **Practice address:** 1618 LAUREL AVE, REDLANDS, CA 92373-4838
- **Practice address phone:** (909) 792-6050
- **Mailing address:** 701 PALOMAR AIRPORT RD, SUITE 300, CARLSBAD, CA 92011-1027
- **Mailing address phone:** (858) 200-6145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 04/17/2015
- **Last updated:** 04/11/2025