Organization
FRONT PORCH COMMUNITIES AND SERVICES
Active
Other names
Kingsley Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT EDELSTONE (SR. DIRECTOR RISK MANAGEMENT)
(925) 956-7360
Entity
Organization
Contact information
Practice address
1055 N KINGSLEY DR, LOS ANGELES, CA 90029-1207
(323) 661-1128
(323) 661-4121
Mailing address
1055 N KINGSLEY DR, LOS ANGELES, CA 90029-1207
(323) 661-1128
(323) 661-4121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
197602346
CA
314000000X
Skilled Nursing Facility
Primary
970000015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RCF00015F
—
CA
05
—
ZZT05086G
—
CA
Enumeration date
10/27/2006
Last updated
07/29/2021
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