Organization
FRONT PORCH COMMUNITIES AND SERVICES
Active
Organization
FRONT PORCH COMMUNITIES AND SERVICES
Active
Other names
Kingsley Manor
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT EDELSTONE (SR. DIR. RISK MANAGEMENT)
(925) 956-7360
Entity
Organization
Contact information
Practice address
1055 N KINGSLEY DR, LOS ANGELES, CA 90029-1207
(323) 661-1128
(323) 660-4091
Mailing address
2185 N CALIFORNIA BLVD STE 215, WALNUT CREEK, CA 94596-3566
(925) 956-7360
(925) 956-7360
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197608482
CA DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
10/05/2021
Last updated
10/05/2021
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