Organization
FRONT PORCH COMMUNITIES AND SERVICES
Active
Other names
Villa Gardens Health Care Unit
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT EDELSTONE (SR. DIRECTOR RISK MANAGEMENT)
(925) 956-7360
Entity
Organization
Contact information
Practice address
842 E VILLA ST, PASADENA, CA 91101-1259
(626) 796-8162
(626) 568-9606
Mailing address
842 E VILLA ST, PASADENA, CA 91101-1259
(626) 796-8162
(616) 568-9606
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55429H
—
CA
Enumeration date
10/27/2006
Last updated
07/29/2021
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