Organization
KINGSLEY PLACE ADULT HEALTH DAY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL PAK (CEO)
(213) 383-3303
Entity
Organization
Contact information
Practice address
548 S KINGSLEY DR, LOS ANGELES, CA 90020-3506
(213) 383-3303
(213) 384-1772
Mailing address
548 S KINGSLEY DR, LOS ANGELES, CA 90020-3506
(213) 383-3303
(213) 384-1772
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70264F
—
CA
Enumeration date
04/16/2007
Last updated
12/05/2025
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