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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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