Organization
CREATIVE LIFESTYLES
Active
Other names
Faith Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CLAREL MARTINE (PRESIDENT)
(661) 809-6077
Entity
Organization
Contact information
Practice address
1832 ARLINGTON AVE, LOS ANGELES, CA 90019-6224
(323) 737-2310
Mailing address
PO BOX 191154, LOS ANGELES, CA 90019-9154
(661) 809-6077
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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