LEISURE VILLAGE INC is an assisted living facility in Lake Balboa, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LEISURE VILLAGE INC NPI is 1598936205. The provider is registered as an organization entity type.
The provider's business location address is:
6726 GAVIOTA AVE
LAKE BALBOA, CA
ZIP 91406-944
Phone: (818) 402-7867
Fax: (818) 774-0563
The provider's authorized official is Koke Ahankoob .
The authorized official title is President and has the following contact phone number (818) 402-7867.
The enumeration date for this NPI number is 3/20/2008 and was last updated on 3/20/2008.