Organization
THE COTTAGES OF LAKE BALBOA, INC.
Active
Organization
THE COTTAGES OF LAKE BALBOA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LEVI (PRESIDENT)
(818) 378-7422
Entity
Organization
Contact information
Practice address
6724 GAVIOTA AVE, LAKE BALBOA, CA 91406-5944
(818) 378-7422
(855) 225-2622
Mailing address
6230 WILSHIRE BLVD # 2070, LOS ANGELES, CA 90048-5126
(818) 378-7422
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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