Organization
1135 N LEISURE CT INC
Active
Other names
LEISURE COURT NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSALIE PIACENTI SANCHEZ (MANAGER)
(562) 930-0777
Entity
Organization
Contact information
Practice address
1135 N LEISURE CT, ANAHEIM, CA 92801-2939
(714) 772-1353
(714) 490-2171
Mailing address
4115 E BROADWAY, LONG BEACH, CA 90803-1532
(562) 930-0777
(562) 930-0728
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55520G
—
CA
Enumeration date
09/28/2005
Last updated
12/08/2010
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