Organization
CONGREGATE LIVING HEALTH FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEANDER JACKSON JR. (PRESIDENT / OWNER)
(805) 253-6708
Entity
Organization
Contact information
Practice address
5440 TUJUNGA AVE, NORTH HOLLYWOOD, CA 91601-4967
(805) 253-6708
(888) 640-4414
Mailing address
5440 TUJUNGA AVE, NORTH HOLLYWOOD, CA 91601-4967
(805) 253-6708
(888) 640-4414
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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