Organization
LEISURE GROVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ATLAS (MANAGER)
(323) 475-1800
Entity
Organization
Contact information
Practice address
413 E CYPRESS ST, GLENDALE, CA 91205-3334
(818) 244-2323
Mailing address
4221 WILSHIRE BLVD STE 392, LOS ANGELES, CA 90010-3537
(323) 475-1800
(323) 475-1826
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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