Organization
BV GENERAL INC
Active
Other names
Leisure Glen Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA WISE (ADMINISTRATOR)
(818) 247-4476
Entity
Organization
Contact information
Practice address
1505 COLBY DR, GLENDALE, CA 91205-3307
(818) 247-4476
(818) 247-1776
Mailing address
1505 COLBY DR, GLENDALE, CA 91205-3307
(818) 247-4476
(818) 247-1776
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC05845H
—
CA
Enumeration date
06/08/2005
Last updated
08/22/2020
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